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Circ Cardiovasc Imaging

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Presentation on theme: "Circ Cardiovasc Imaging"— Presentation transcript:

1 Circ Cardiovasc Imaging
Clinical Implications of Intracoronary Imaging in Cardiac Allograft Vasculopathy by Raviteja R. Guddeti, Yoshiki Matsuo, Yasushi Matsuzawa, Tatsuo Aoki, Lilach O. Lerman, Sudhir S. Kushwaha, and Amir Lerman Circ Cardiovasc Imaging Volume 8(1):e002636 January 16, 2015 Copyright © American Heart Association, Inc. All rights reserved.

2 A representative case showing coronary angiography imaging in a heart transplantation recipient.
A representative case showing coronary angiography imaging in a heart transplantation recipient. The big white arrow (A) corresponds to the site of intravascular ultrasound (IVUS; B and C) and optical coherence tomography (OCT; D) images. C, Thin-cap fibroatheroma defined by virtual histology-IVUS. D, Thin-cap fibroatheroma as defined by OCT. L indicates lipid pool. Raviteja R. Guddeti et al. Circ Cardiovasc Imaging. 2015;8:e002636 Copyright © American Heart Association, Inc. All rights reserved.

3 A to D, A representative case with multilayer appearance.
A to D, A representative case with multilayer appearance. Eccentric plaque with multilayer appearance was identified longitudinally in the left anterior descending artery. Intraluminal thrombi (arrowheads) and a ruptured cavity (asterisk) with residual fibrous cap (arrow). Adapted from Matsuo et al4 with permission of the publisher. Copyright © 2013, Oxford University Press. Raviteja R. Guddeti et al. Circ Cardiovasc Imaging. 2015;8:e002636 Copyright © American Heart Association, Inc. All rights reserved.

4 Two representative cases of fibroatheromas (thin-cap and thick-cap).
Two representative cases of fibroatheromas (thin-cap and thick-cap). A and B represent corresponding grayscale intravascular ultrasound (IVUS) images for the two cases. C, Thin-cap fibroatheroma as defined by virtual histology- intravascular ultrasound (VH-IVUS) with corresponding optical coherence tomography (OCT) appearance in E. D, Thick-cap fibroatheroma on VH-IVUS with corresponding OCT appearance in F. L indicates lipid pool. Raviteja R. Guddeti et al. Circ Cardiovasc Imaging. 2015;8:e002636 Copyright © American Heart Association, Inc. All rights reserved.

5 Morphological characteristics of cardiac allograft vasculopathy by optical coherence tomography.
Morphological characteristics of cardiac allograft vasculopathy by optical coherence tomography. Optical coherence tomography images revealing atherosclerotic plaque characteristics (A, eccentric intimal hyperplasia; B, calcification; and C, lipid pool) with vulnerable plaque features (D, thin-cap fibroatheroma; E, macrophage image; and F, microchannels) as well as complicated lesions (G, intimal laceration; H, plaque rupture; I and J, intraluminal thrombus; and K and L, layered complex plaque). Adapted from Cassar et al6 with permission of the publisher. Copyright © 2013, Oxford University Press. Raviteja R. Guddeti et al. Circ Cardiovasc Imaging. 2015;8:e002636 Copyright © American Heart Association, Inc. All rights reserved.


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