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Assessment of culprit lesions by intravascular ultrasound in patients with acute myocardial infarction
Background Intravascular ultrasound has become the standard invasive method for diagnosing coronary artery disease. The aim of the present study was to evaluate the ability of intravascular ultrasound for assessment of culprit lesion morphology during primary percutaneous coronary intervention （PCI）...
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| Published in: | Chinese medical journal 2009-03, Vol.122 (6), p.665-669 |
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| container_title | Chinese medical journal |
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| creator | Liu, Jian Liu, Chuan-Fen Lu, Ming-Yu Ma, Yu-Liang Wang, Long Chen, Hong Wang, Wei-Min |
| description | Background Intravascular ultrasound has become the standard invasive method for diagnosing coronary artery disease. The aim of the present study was to evaluate the ability of intravascular ultrasound for assessment of culprit lesion morphology during primary percutaneous coronary intervention （PCI） in patients with acute myocardial infarction （AMI）.
Methods We performed 18 intravascular ultrasound assessments preintervention during the primary PCi for AMI. intravascular ultrasound analysis included qualitative and quantitative measurements of reference and lesion external elastic membrane （EEM）, lumen, and plaque plus media （P＆M） area. Positive remodeling was defined as lesion/mean reference EEM 〉1.0. Culprit lesions were identified by a combination of electrocardiogram （ECG） and coronary angiography.
Results There was an average of- 1.44 infarct-related artery （IRA） plaques per patient. The incidences of thrombus and plaque ruptures were 28% （5） and 33% （6）, respectively. Hypoechoic plaque was observed in 72% （13） of AMI patients. Calcified lesions could be found in 33% （6） of culprit lesions. Sixty percent of the culprit lesion sites presented with positive remodeling.
Conclusions Intravascular ultrasound is a safe and feasible imaging modality in patients with AMI and can help identify plaque rupture, intracoronary thrombus or calcification. The culprit lesion site in AMI cases often presents with positive remodeling. |
| doi_str_mv | 10.3760/cma.j.issn.0366-6999.2009.06.014 |
| format | article |
| fullrecord | <record><control><sourceid>wanfang_jour_proqu</sourceid><recordid>TN_cdi_wanfang_journals_zhcmj200906014</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cqvip_id>29876445</cqvip_id><wanfj_id>zhcmj200906014</wanfj_id><sourcerecordid>zhcmj200906014</sourcerecordid><originalsourceid>FETCH-LOGICAL-c267t-6d8e902d2180d33001b2815fcde0ae0a874d6b641b2fee16a94f9a3d824c62653</originalsourceid><addsrcrecordid>eNpFkF9r1UAQxRdR7LX6FWTxQfqSdP9lkn0sRatQ8EWfw2R307vXZHOb2VhuP70rrQoDw3B-M4c5jF1IUesWxKWbsT7UkSjVQgNUYK2tlRC2FlALaV6wnWqMqhow8iXb_WPO2BuigxCqaVp4zc6k1UpbLXdsvCIKRHNImS8jd9t0XGPmU6C4JOLDiceUV_yFVCRc-TaViZYt-SLwI-ZYNok_xLzn6LYc-HxaHK4-4lSIEVeXy6W37NWIE4V3z_2c_fj86fv1l-r2283X66vbyilocwW-C1Yor2QnvNZCyEF1shmdDwJLda3xMJTnBjWGIAGtGS1q3ynjQEGjz9nHp7sPWLzTXX9YtjUVx_5x7-bDn6gElKD-g8d1ud8C5X6O5MI0YQrLRj20AmxrugK-fwa3YQ6-L_HMuJ76vxEW4MMT4PZLuruPxXRA93OMU-iV7VowptG_Af3JhNE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67069748</pqid></control><display><type>article</type><title>Assessment of culprit lesions by intravascular ultrasound in patients with acute myocardial infarction</title><source>HEAL-Link subscriptions: Lippincott Williams & Wilkins</source><creator>Liu, Jian ; Liu, Chuan-Fen ; Lu, Ming-Yu ; Ma, Yu-Liang ; Wang, Long ; Chen, Hong ; Wang, Wei-Min</creator><creatorcontrib>Liu, Jian ; Liu, Chuan-Fen ; Lu, Ming-Yu ; Ma, Yu-Liang ; Wang, Long ; Chen, Hong ; Wang, Wei-Min</creatorcontrib><description>Background Intravascular ultrasound has become the standard invasive method for diagnosing coronary artery disease. The aim of the present study was to evaluate the ability of intravascular ultrasound for assessment of culprit lesion morphology during primary percutaneous coronary intervention （PCI） in patients with acute myocardial infarction （AMI）.
Methods We performed 18 intravascular ultrasound assessments preintervention during the primary PCi for AMI. intravascular ultrasound analysis included qualitative and quantitative measurements of reference and lesion external elastic membrane （EEM）, lumen, and plaque plus media （P＆M） area. Positive remodeling was defined as lesion/mean reference EEM 〉1.0. Culprit lesions were identified by a combination of electrocardiogram （ECG） and coronary angiography.
Results There was an average of- 1.44 infarct-related artery （IRA） plaques per patient. The incidences of thrombus and plaque ruptures were 28% （5） and 33% （6）, respectively. Hypoechoic plaque was observed in 72% （13） of AMI patients. Calcified lesions could be found in 33% （6） of culprit lesions. Sixty percent of the culprit lesion sites presented with positive remodeling.
Conclusions Intravascular ultrasound is a safe and feasible imaging modality in patients with AMI and can help identify plaque rupture, intracoronary thrombus or calcification. The culprit lesion site in AMI cases often presents with positive remodeling.</description><identifier>ISSN: 0366-6999</identifier><identifier>EISSN: 2542-5641</identifier><identifier>DOI: 10.3760/cma.j.issn.0366-6999.2009.06.014</identifier><identifier>PMID: 19323931</identifier><language>eng</language><publisher>China: Heart Center, Peking University People's Hospital, Beijing 100044, China</publisher><subject>Acute Disease ; Adult ; Aged ; Aged, 80 and over ; Angioplasty, Balloon, Coronary - methods ; Coronary Angiography ; Electrocardiography ; Humans ; Male ; Middle Aged ; Myocardial Infarction - diagnosis ; Myocardial Infarction - diagnostic imaging ; Myocardial Infarction - pathology ; Myocardial Infarction - therapy ; Ultrasonography, Interventional - methods ; 冠心病 ; 急性心肌梗死 ; 血管内超声</subject><ispartof>Chinese medical journal, 2009-03, Vol.122 (6), p.665-669</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85656X/85656X.jpg</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19323931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Jian</creatorcontrib><creatorcontrib>Liu, Chuan-Fen</creatorcontrib><creatorcontrib>Lu, Ming-Yu</creatorcontrib><creatorcontrib>Ma, Yu-Liang</creatorcontrib><creatorcontrib>Wang, Long</creatorcontrib><creatorcontrib>Chen, Hong</creatorcontrib><creatorcontrib>Wang, Wei-Min</creatorcontrib><title>Assessment of culprit lesions by intravascular ultrasound in patients with acute myocardial infarction</title><title>Chinese medical journal</title><addtitle>Chinese Medical Journal</addtitle><description>Background Intravascular ultrasound has become the standard invasive method for diagnosing coronary artery disease. The aim of the present study was to evaluate the ability of intravascular ultrasound for assessment of culprit lesion morphology during primary percutaneous coronary intervention （PCI） in patients with acute myocardial infarction （AMI）.
Methods We performed 18 intravascular ultrasound assessments preintervention during the primary PCi for AMI. intravascular ultrasound analysis included qualitative and quantitative measurements of reference and lesion external elastic membrane （EEM）, lumen, and plaque plus media （P＆M） area. Positive remodeling was defined as lesion/mean reference EEM 〉1.0. Culprit lesions were identified by a combination of electrocardiogram （ECG） and coronary angiography.
Results There was an average of- 1.44 infarct-related artery （IRA） plaques per patient. The incidences of thrombus and plaque ruptures were 28% （5） and 33% （6）, respectively. Hypoechoic plaque was observed in 72% （13） of AMI patients. Calcified lesions could be found in 33% （6） of culprit lesions. Sixty percent of the culprit lesion sites presented with positive remodeling.
Conclusions Intravascular ultrasound is a safe and feasible imaging modality in patients with AMI and can help identify plaque rupture, intracoronary thrombus or calcification. The culprit lesion site in AMI cases often presents with positive remodeling.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon, Coronary - methods</subject><subject>Coronary Angiography</subject><subject>Electrocardiography</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - pathology</subject><subject>Myocardial Infarction - therapy</subject><subject>Ultrasonography, Interventional - methods</subject><subject>冠心病</subject><subject>急性心肌梗死</subject><subject>血管内超声</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNpFkF9r1UAQxRdR7LX6FWTxQfqSdP9lkn0sRatQ8EWfw2R307vXZHOb2VhuP70rrQoDw3B-M4c5jF1IUesWxKWbsT7UkSjVQgNUYK2tlRC2FlALaV6wnWqMqhow8iXb_WPO2BuigxCqaVp4zc6k1UpbLXdsvCIKRHNImS8jd9t0XGPmU6C4JOLDiceUV_yFVCRc-TaViZYt-SLwI-ZYNok_xLzn6LYc-HxaHK4-4lSIEVeXy6W37NWIE4V3z_2c_fj86fv1l-r2283X66vbyilocwW-C1Yor2QnvNZCyEF1shmdDwJLda3xMJTnBjWGIAGtGS1q3ynjQEGjz9nHp7sPWLzTXX9YtjUVx_5x7-bDn6gElKD-g8d1ud8C5X6O5MI0YQrLRj20AmxrugK-fwa3YQ6-L_HMuJ76vxEW4MMT4PZLuruPxXRA93OMU-iV7VowptG_Af3JhNE</recordid><startdate>20090320</startdate><enddate>20090320</enddate><creator>Liu, Jian</creator><creator>Liu, Chuan-Fen</creator><creator>Lu, Ming-Yu</creator><creator>Ma, Yu-Liang</creator><creator>Wang, Long</creator><creator>Chen, Hong</creator><creator>Wang, Wei-Min</creator><general>Heart Center, Peking University People's Hospital, Beijing 100044, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>20090320</creationdate><title>Assessment of culprit lesions by intravascular ultrasound in patients with acute myocardial infarction</title><author>Liu, Jian ; Liu, Chuan-Fen ; Lu, Ming-Yu ; Ma, Yu-Liang ; Wang, Long ; Chen, Hong ; Wang, Wei-Min</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-6d8e902d2180d33001b2815fcde0ae0a874d6b641b2fee16a94f9a3d824c62653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon, Coronary - methods</topic><topic>Coronary Angiography</topic><topic>Electrocardiography</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - pathology</topic><topic>Myocardial Infarction - therapy</topic><topic>Ultrasonography, Interventional - methods</topic><topic>冠心病</topic><topic>急性心肌梗死</topic><topic>血管内超声</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Jian</creatorcontrib><creatorcontrib>Liu, Chuan-Fen</creatorcontrib><creatorcontrib>Lu, Ming-Yu</creatorcontrib><creatorcontrib>Ma, Yu-Liang</creatorcontrib><creatorcontrib>Wang, Long</creatorcontrib><creatorcontrib>Chen, Hong</creatorcontrib><creatorcontrib>Wang, Wei-Min</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Jian</au><au>Liu, Chuan-Fen</au><au>Lu, Ming-Yu</au><au>Ma, Yu-Liang</au><au>Wang, Long</au><au>Chen, Hong</au><au>Wang, Wei-Min</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of culprit lesions by intravascular ultrasound in patients with acute myocardial infarction</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chinese Medical Journal</addtitle><date>2009-03-20</date><risdate>2009</risdate><volume>122</volume><issue>6</issue><spage>665</spage><epage>669</epage><pages>665-669</pages><issn>0366-6999</issn><eissn>2542-5641</eissn><abstract>Background Intravascular ultrasound has become the standard invasive method for diagnosing coronary artery disease. The aim of the present study was to evaluate the ability of intravascular ultrasound for assessment of culprit lesion morphology during primary percutaneous coronary intervention （PCI） in patients with acute myocardial infarction （AMI）.
Methods We performed 18 intravascular ultrasound assessments preintervention during the primary PCi for AMI. intravascular ultrasound analysis included qualitative and quantitative measurements of reference and lesion external elastic membrane （EEM）, lumen, and plaque plus media （P＆M） area. Positive remodeling was defined as lesion/mean reference EEM 〉1.0. Culprit lesions were identified by a combination of electrocardiogram （ECG） and coronary angiography.
Results There was an average of- 1.44 infarct-related artery （IRA） plaques per patient. The incidences of thrombus and plaque ruptures were 28% （5） and 33% （6）, respectively. Hypoechoic plaque was observed in 72% （13） of AMI patients. Calcified lesions could be found in 33% （6） of culprit lesions. Sixty percent of the culprit lesion sites presented with positive remodeling.
Conclusions Intravascular ultrasound is a safe and feasible imaging modality in patients with AMI and can help identify plaque rupture, intracoronary thrombus or calcification. The culprit lesion site in AMI cases often presents with positive remodeling.</abstract><cop>China</cop><pub>Heart Center, Peking University People's Hospital, Beijing 100044, China</pub><pmid>19323931</pmid><doi>10.3760/cma.j.issn.0366-6999.2009.06.014</doi><tpages>5</tpages></addata></record> |
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| ispartof | Chinese medical journal, 2009-03, Vol.122 (6), p.665-669 |
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| subjects | Acute Disease Adult Aged Aged, 80 and over Angioplasty, Balloon, Coronary - methods Coronary Angiography Electrocardiography Humans Male Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - diagnostic imaging Myocardial Infarction - pathology Myocardial Infarction - therapy Ultrasonography, Interventional - methods 冠心病 急性心肌梗死 血管内超声 |
| title | Assessment of culprit lesions by intravascular ultrasound in patients with acute myocardial infarction |
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