Key result
Intravascular imaging facilitated the rapid understanding of etiology and management in two patients with acute coronary syndrome without significant stenosis on coronary angiography.
Why the study?
Despite intravascular imaging demonstrating benefits in PCI and in understanding MINOCA, real-world adoption remains slow.
Does intravascular imaging help in understanding the etiology and managing acute coronary syndrome patients without significant stenosis on coronary angiography?
Case Report (n=2)
Does intravascular imaging help in understanding the etiology and managing acute coronary syndrome patients without significant stenosis on coronary angiography?
Intravascular imaging is useful for determining the etiology and guiding management in ACS patients with nonobstructive coronary artery disease.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for intravascular imaging in ACS with nonobstructive coronaries; prospective studies needed before clinical adoption.
Intravascular coronary imaging has facilitated the field of interventional cardiology with multiple studies showing the superiority of intravascular image-guided percutaneous coronary interventions for the reduction of lesion revascularization rates. It also aids in understanding the mechanism of myocardial infarction with nonobstructive coronary artery disease. Despite such results, there is a slow adaptation of intravascular imaging use in the real world. We present two cases where intravascular imaging helped in the rapid understanding of the etiology of acute coronary syndrome and facilitated the management of both patients.
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Osman et al. (2020) conducted a case report in Acute coronary syndrome without significant stenosis on coronary angiography (n=2). Intravascular imaging was evaluated. Intravascular imaging facilitated the rapid understanding of etiology and management in two patients with acute coronary syndrome without significant stenosis on coronary angiography.
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