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Intravascular ultrasound, optical coherence tomography, and angioscopy of coronary circulation

Authors
Evelyn Regar, MD, PhD, FESC
Neil J Weissman, MD
J Brent Muhlestein, MD
Section Editors
Donald Cutlip, MD
Warren J Manning, MD
Guy S Reeder, MD
Deputy Editor
Gordon M Saperia, MD, FACC

INTRODUCTION

Invasive, radiograph coronary angiography using contrast media at the time of cardiac catheterization is the preferred diagnostic test when information regarding the extent and severity of atherosclerotic narrowing in the coronary circulation is needed. Decisions regarding the need for revascularization are based on information obtained from this procedure, as well as other clinical and noninvasive data. However, coronary angiography is subject to observer bias and interobserver variability, which led to the development of quantitative coronary angiography. (See "Quantitative coronary angiography: Clinical applications" and "Quantitative coronary angiography: Technical issues".)

Coronary angiography is also limited by:

Technical limitations such as the occasional inability to optimally visualize a particular location.

Providing information only about the contour of the vascular lumen. The components of the vascular wall are not visualized.

The intravascular imaging techniques of optical coherence tomography (OCT), intravascular ultrasound (IVUS), and coronary angioscopy (CA) provide information above and beyond that provided by radiograph coronary angiography (table 1).

                                                       

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Literature review current through: Nov 2016. | This topic last updated: Tue Jan 28 00:00:00 GMT+00:00 2014.
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