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Cardiovascular Imaging pp 379–388Cite as

The use of coronary angioscopy in diagnosis and clinical decision making

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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 186))

Summary

Although coronary angioscopy, shortly after its introduction in 1991, seemed promising as a clinical decision tool in interventional cardiology, it has until now mainly been used as a device for clinical research. It is somewhat surprising that this imaging modality proved to be in lack of practical applications. Nevertheless, angioscopy can reliably discriminate unstable from stable lesions, and be of value in the management of threatened acute closure after PTCA or stenting. Its sensitivity and specificity in the detection of intracoronary thrombus is unsurpassed. A new class of drugs, the glycoprotein Ilb/IIIa inhibitors, is presently making a large impact on interventional cardiology. Coronary angioscopy can potentially play an important role in research as well as clinical use of such drugs, because it is essentially the only reliable tool for intracoronary thrombus detection.

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Authors
  1. Peter den Heijer
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Editor information

Editors and Affiliations

  1. Laboratory for Clinical and Experimental Image Processing (LKEB), Department of Diagnostic Radiology and Nuclear Medicine, Department of Cardiology, Leiden University Hospital, The Netherlands

    Johan H. C. Reiber

  2. Interuniversity Cardiology Institute of the Netherlands (ICIN), Utrecht, The Netherlands

    Johan H. C. Reiber

  3. Department of Cardiology, Leiden University Hospital, The Netherlands

    Ernst E. van der Wall

  4. Interuniversity Cardiology Institute of the Netherlands (ICIN), Utrecht, The Netherlands

    Ernst E. van der Wall

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© 1996 Kluwer Academic Publishers

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den Heijer, P. (1996). The use of coronary angioscopy in diagnosis and clinical decision making. In: Reiber, J.H.C., van der Wall, E.E. (eds) Cardiovascular Imaging. Developments in Cardiovascular Medicine, vol 186. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0291-6_29

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  • DOI: https://doi.org/10.1007/978-94-009-0291-6_29

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6616-7

  • Online ISBN: 978-94-009-0291-6

  • eBook Packages: Springer Book Archive

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