Optical coherence tomography in differential diagnosis of the morphology of in-stent restenosis and neoaterosclerosis
In spite of widespread use of coronary stents for the treatment of coronary artery disease (CAD), the recurrence of ischemia in the long-term period is still serious limitation of percutaneous coronary interventions. Recurrence of the CAD symptoms in the first year after the intervention is most oft...
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«SILICEA-POLIGRAF» LLC
2020-11-01
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Series: | Кардиоваскулярная терапия и профилактика |
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Online Access: | https://cardiovascular.elpub.ru/jour/article/view/2501 |
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author | V. N. Fomin B. A. Rudenko A. S. Shanoyan D. K. Vasiliev O. M. Drapkina |
author_facet | V. N. Fomin B. A. Rudenko A. S. Shanoyan D. K. Vasiliev O. M. Drapkina |
author_sort | V. N. Fomin |
collection | DOAJ |
description | In spite of widespread use of coronary stents for the treatment of coronary artery disease (CAD), the recurrence of ischemia in the long-term period is still serious limitation of percutaneous coronary interventions. Recurrence of the CAD symptoms in the first year after the intervention is most often due to in-stent restenosis, which is mainly observed after implantation of bare-metal stents. The implantation of a drug-eluting stent effectively suppresses the smooth muscle proliferation underlying the restenosis. Nevertheless, drug-eluting stents can become a site for neoatherosclerosis in the long term due to inflammatory and allergic reactions. Differential diagnosis of these morphological processes using conventional coronary angiography is difficult. Novel methods of intravascular imaging, in particular, optical coherence tomography, provide intravital visualization of pathological processes in stent, which is presented in a current case report. |
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id | doaj.art-f8b635eb7c51413792eb3f062630ec60 |
institution | Directory Open Access Journal |
issn | 1728-8800 2619-0125 |
language | Russian |
last_indexed | 2024-04-10T03:34:40Z |
publishDate | 2020-11-01 |
publisher | «SILICEA-POLIGRAF» LLC |
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series | Кардиоваскулярная терапия и профилактика |
spelling | doaj.art-f8b635eb7c51413792eb3f062630ec602023-03-13T07:23:30Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252020-11-0119510.15829/1728-8800-2020-25012179Optical coherence tomography in differential diagnosis of the morphology of in-stent restenosis and neoaterosclerosisV. N. Fomin0B. A. Rudenko1A. S. Shanoyan2D. K. Vasiliev3O. M. Drapkina4ЛБУЗ города Москвы “Государственная клиническая больница им. С. П. Боткина” ДЗМФГБУ “Национальный медицинский исследовательский центр профилактической медицины” Минздрава РоссииФГБУ “Национальный медицинский исследовательский центр профилактической медицины” Минздрава РоссииФГБУ “Национальный медицинский исследовательский центр профилактической медицины” Минздрава РоссииФГБУ “Национальный медицинский исследовательский центр профилактической медицины” Минздрава РоссииIn spite of widespread use of coronary stents for the treatment of coronary artery disease (CAD), the recurrence of ischemia in the long-term period is still serious limitation of percutaneous coronary interventions. Recurrence of the CAD symptoms in the first year after the intervention is most often due to in-stent restenosis, which is mainly observed after implantation of bare-metal stents. The implantation of a drug-eluting stent effectively suppresses the smooth muscle proliferation underlying the restenosis. Nevertheless, drug-eluting stents can become a site for neoatherosclerosis in the long term due to inflammatory and allergic reactions. Differential diagnosis of these morphological processes using conventional coronary angiography is difficult. Novel methods of intravascular imaging, in particular, optical coherence tomography, provide intravital visualization of pathological processes in stent, which is presented in a current case report.https://cardiovascular.elpub.ru/jour/article/view/2501неоатеросклерозрестеноз в стентеоптическая когерентная томография |
spellingShingle | V. N. Fomin B. A. Rudenko A. S. Shanoyan D. K. Vasiliev O. M. Drapkina Optical coherence tomography in differential diagnosis of the morphology of in-stent restenosis and neoaterosclerosis Кардиоваскулярная терапия и профилактика неоатеросклероз рестеноз в стенте оптическая когерентная томография |
title | Optical coherence tomography in differential diagnosis of the morphology of in-stent restenosis and neoaterosclerosis |
title_full | Optical coherence tomography in differential diagnosis of the morphology of in-stent restenosis and neoaterosclerosis |
title_fullStr | Optical coherence tomography in differential diagnosis of the morphology of in-stent restenosis and neoaterosclerosis |
title_full_unstemmed | Optical coherence tomography in differential diagnosis of the morphology of in-stent restenosis and neoaterosclerosis |
title_short | Optical coherence tomography in differential diagnosis of the morphology of in-stent restenosis and neoaterosclerosis |
title_sort | optical coherence tomography in differential diagnosis of the morphology of in stent restenosis and neoaterosclerosis |
topic | неоатеросклероз рестеноз в стенте оптическая когерентная томография |
url | https://cardiovascular.elpub.ru/jour/article/view/2501 |
work_keys_str_mv | AT vnfomin opticalcoherencetomographyindifferentialdiagnosisofthemorphologyofinstentrestenosisandneoaterosclerosis AT barudenko opticalcoherencetomographyindifferentialdiagnosisofthemorphologyofinstentrestenosisandneoaterosclerosis AT asshanoyan opticalcoherencetomographyindifferentialdiagnosisofthemorphologyofinstentrestenosisandneoaterosclerosis AT dkvasiliev opticalcoherencetomographyindifferentialdiagnosisofthemorphologyofinstentrestenosisandneoaterosclerosis AT omdrapkina opticalcoherencetomographyindifferentialdiagnosisofthemorphologyofinstentrestenosisandneoaterosclerosis |