1. Coronary Plaque Characteristics of Thin-cap Fibroatheroma: An Intravascular Ultrasound and Optical Coherence Tomography Study

    Background: Previous pathologic studies reported that the main mechanisms of acute coronary syndrome (ACS) are atherosclerotic plaque ruptures followed by thrombus formation. Therefore it is clinically important to identify plaques that are prone to rupture, known as thin-cap fibroatheroma (TCFA). The aim of this study is to evaluate plaque characteristics of TCFA using optical coherence tomography (OCT) in vivo. Methods: After the successful treatment of culprit lesions, OCT and intravascular ultrasound (IVUS) examinations were attempted prospectively using motorized pullback in all 3 major coronary arteries for 41 ACS and 42 stable angina pectoris (SAP) patients. In 78 patients, 303 moderate ...
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