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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Main Authors: V. N. Fomin, B. A. Rudenko, A. S. Shanoyan, D. K. Vasiliev, O. M. Drapkina
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2020-11-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
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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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
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