Evolution of intravascular assessment of coronary anatomy and physiology: from ultrasound imaging to optical and flow assessment

Eur J Clin Invest. 2013 Sep;43(9):996-1008. doi: 10.1111/eci.12119. Epub 2013 Jul 4.

Abstract

The fact that coronary angiography has limitations in terms of precise estimation and progression of atherosclerosis has been partially overcome during the last years by the use of new techniques. Catheter-based invasive modalities are of a profound clinical importance in regard to accurate assessment of coronary anatomy and physiology and the choice of the appropriate treatment strategy for each patient. Also their potential in clinical investigation projects is of great interest. This current review summarizes the basic principles of these methodologies and evidently highlights not only their use in clinical practice but also their contribution in clinical outcomes.

Keywords: Clinical outcomes; intravascular imaging.

Publication types

  • Review

MeSH terms

  • Coronary Artery Disease / diagnosis*
  • Coronary Artery Disease / physiopathology
  • Forecasting
  • Fractional Flow Reserve, Myocardial / physiology*
  • Humans
  • Spectroscopy, Near-Infrared / methods*
  • Tomography, Optical Coherence / methods*
  • Ultrasonography, Interventional / methods*