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Pre-interventional Lesion Assessment

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Coronary Imaging and Physiology

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Abstract

Coronary angiography (CAG) is an established method to diagnose coronary artery disease, and it regards as gold standard method for guidance of percutaneous coronary intervention (PCI). However, it cannot directly assess atherosclerotic change of vessel wall because CAG can detect only the luminal contrast agent filling. Therefore, need for a compensated method to evaluate cross-sectional images of the lumen and vessel wall had been increased [1–3]. Recently, optical coherence tomography (OCT) was adopted in increasing numbers of catheterization laboratory. Because of its high-resolution power, OCT provides precise luminal narrowing as well as more detailed information about microscopic atherosclerotic change, the presence of high-risk plaque, tiny calcium and thrombus, plaque rupture (PR), and plaque erosion (PE) [4567]. In this chapter, we will discuss about the pre-procedural OCT imaging.

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Authors and Affiliations

  1. Keimyung University Dongsan Medical Center, Keimyung University, Daegu, South Korea

    Hyuck-Jun Yoon

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  1. Hyuck-Jun Yoon
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Correspondence to Hyuck-Jun Yoon .

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  1. Division of Cardiology, Severance Cardiovascular Hospital , Seoul, Korea (Republic of)

    Myeong-Ki Hong

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Yoon, HJ. (2018). Pre-interventional Lesion Assessment. In: Hong, MK. (eds) Coronary Imaging and Physiology. Springer, Singapore. https://doi.org/10.1007/978-981-10-2787-1_15

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  • DOI: https://doi.org/10.1007/978-981-10-2787-1_15

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-2786-4

  • Online ISBN: 978-981-10-2787-1

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