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Pre-Percutaneous Coronary Intervention Lesion Assessment

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Coronary Imaging and Physiology

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Abstract

Traditionally, quantitative coronary angiography (QCA) was the major imaging modality to assess the severity of CAD for coronary lesion assessment when coronary artery disease is treated with catheter-based coronary interventions. But only provides lumenogram or shadowgram a planar two-dimensional silhouette of the lumen contains only about 25% of the total coronary blood flow and is unsuitable for the precise assessment of atherosclerosis. Intravascular ultrasound (IVUS) provides a unique real-time, tomographic assessment of coronary artery assessment of lesion characteristics, lumen diameters, cross-sectional area, plaque area, and distribution. Generally coronary angiography underestimates the severity and extent of disease, IVUS is golden standard for accurate evaluation for pre-intervention lesion assessment.

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Authors and Affiliations

  1. Inje University Ilsan Paik Hospital, Goyang, South Korea

    Sung Yun Lee

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Correspondence to Sung Yun Lee .

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  1. Division of Cardiology, Severance Cardiovascular Hospital , Seoul, Korea (Republic of)

    Myeong-Ki Hong

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Lee, S.Y. (2018). Pre-Percutaneous Coronary Intervention Lesion Assessment. In: Hong, MK. (eds) Coronary Imaging and Physiology. Springer, Singapore. https://doi.org/10.1007/978-981-10-2787-1_6

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  • DOI: https://doi.org/10.1007/978-981-10-2787-1_6

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