TY - JOUR
T1 - What does the future hold for novel intravascular imaging devices: a focus on morphological and physiological assessment of plaque
AU - Katagiri, Yuki
AU - Tenekecioglu, Erhan
AU - Serruys, Patrick W.
AU - Collet, Carlos
AU - Katsikis, Athanasios
AU - Asano, Taku
AU - Miyazaki, Yosuke
AU - Piek, Jan J.
AU - Wykrzykowska, Joanna J.
AU - Bourantas, Christos
AU - Onuma, Yoshinobu
PY - 2017
Y1 - 2017
N2 - Introduction: It is well recognized that a lesion that does not cause a hemodynamically significant stenosis can trigger a sudden cardiac event through plaque rupture. As a diagnostic tool, intravascular imaging was developed to circumvent limitations of coronary angiography; however, none of the intravascular imaging devices are individually able to provide complete assessment of the plaque morphology, geometry, physiology and biology. Therefore, over the past few years an effort was made to develop hybrid intravascular imaging catheters to provide more complete evaluation of coronary plaque pathobiology.Areas covered: This paper aims to give an overview of the recent developments on 1) single-modality intravascular imaging devices; 2) hybrid intravascular imaging devices and 3) the hemodynamic analysis in models reconstructed from the fusion of intravascular imaging and angiographic data.Expert commentary: Within five years, most of the hybrid imaging techniques which are now in pre-clinical phase will be utilized in the clinical arena, as NIRS-IVUS. Software for online blood simulation is likely to be developed that will enable ESS calculation while the patient is in the catheterization laboratory
AB - Introduction: It is well recognized that a lesion that does not cause a hemodynamically significant stenosis can trigger a sudden cardiac event through plaque rupture. As a diagnostic tool, intravascular imaging was developed to circumvent limitations of coronary angiography; however, none of the intravascular imaging devices are individually able to provide complete assessment of the plaque morphology, geometry, physiology and biology. Therefore, over the past few years an effort was made to develop hybrid intravascular imaging catheters to provide more complete evaluation of coronary plaque pathobiology.Areas covered: This paper aims to give an overview of the recent developments on 1) single-modality intravascular imaging devices; 2) hybrid intravascular imaging devices and 3) the hemodynamic analysis in models reconstructed from the fusion of intravascular imaging and angiographic data.Expert commentary: Within five years, most of the hybrid imaging techniques which are now in pre-clinical phase will be utilized in the clinical arena, as NIRS-IVUS. Software for online blood simulation is likely to be developed that will enable ESS calculation while the patient is in the catheterization laboratory
U2 - https://doi.org/10.1080/17434440.2017.1407646
DO - https://doi.org/10.1080/17434440.2017.1407646
M3 - Review article
C2 - 29191043
SN - 1743-4440
VL - 14
SP - 985
EP - 999
JO - Expert review of medical devices
JF - Expert review of medical devices
IS - 12
ER -