Unveiling the Heart of the Matter: Intravascular Ultrasound in Acute Myocardial Infarction

Intravascular ultrasound (IVUS) has become crucial in contemporary percutaneous coronary interventions (PCIs), offering detailed two-dimensional (2D) arterial wall visualization. Current guidelines consider it valuable for guiding coronary stent placement, especially in complex cases like the left m...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2023-10, Vol.15 (10), p.e47020
Hauptverfasser: Vazquez-Fuster, Juan I, Molina-Lopez, Victor H, Ortiz Cartagena, Ismael
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Molina-Lopez, Victor H
Ortiz Cartagena, Ismael
description Intravascular ultrasound (IVUS) has become crucial in contemporary percutaneous coronary interventions (PCIs), offering detailed two-dimensional (2D) arterial wall visualization. Current guidelines consider it valuable for guiding coronary stent placement, especially in complex cases like the left main (LM) artery, allowing a comprehensive assessment of vessel characteristics and stent performance. There are some studies that highlight the potential impact of IVUS on acute myocardial infarction (AMI) management, notably improving outcomes. This case involves a 37-year-old man who experienced an AMI, necessitating the use of IVUS to ascertain the underlying cause of his acute coronary syndrome (ACS). This approach was essential for guiding appropriate treatment and ultimately led to successful stent implantation.
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subjects Angioplasty
Blood clots
Cardiology
Cardiovascular disease
Coronary vessels
Decision making
Dissection
Embolization
Heart attacks
Marijuana
Medical imaging
Patients
Stents
Ultrasonic imaging
Vein & artery diseases
title Unveiling the Heart of the Matter: Intravascular Ultrasound in Acute Myocardial Infarction
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