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Assessing atherothrombotic burden with optical coherence tomography analysis may facilitate post‐PCI prognostication and antiplatelet therapy
Author(s) -
Costello Briana,
Krajcer Zvonimir
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29088
Subject(s) - medicine , conventional pci , optical coherence tomography , myocardial infarction , cardiology , acute coronary syndrome , clopidogrel , percutaneous coronary intervention , radiology
Key Points Atherothrombotic burden (ATB) correlates with myocardial blush grade (MBG), a known predictor of mortality and outcome after ST‐elevation myocardial infarction. Quantitative or semiquantitative analysis of ATB with optical coherence tomography may assist interventional cardiologists in post‐PCI prognostication and , perhaps, in rendering more aggressive antiplatelet therapy. Future studies comparing treatment strategies for post‐PCI patients with elevated ATB or depressed MBG may identify best practices after acute coronary syndromes.