Key result
Intravascular ultrasound and optical coherence tomography identify culprit lesions in up to 38% and 46% to 80% of MINOCA patients, respectively, when standard angiography is nondiagnostic.
Why the study?
Does intravascular imaging (IVUS or OCT) combined with cardiac magnetic resonance improve the diagnostic identification of culprit lesions compared to standard angiography alone in patients with MINOCA?
Does intravascular imaging (IVUS or OCT) combined with cardiac magnetic resonance improve the diagnostic identification of culprit lesions compared to standard angiography alone in patients with MINOCA?
This editorial highlights the critical role of persistent evaluation using multimodality and intravascular imaging (IVUS/OCT) to uncover occult culprit lesions, such as spontaneous intramural hematoma, in patients presenting with MINOCA.
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Fischman et al. (2022) conducted an editorial in Myocardial infarction with nonobstructive coronary arteries (MINOCA). Intravascular imaging (IVUS and OCT) and cardiac magnetic resonance imaging vs. Visual interpretation of standard coronary angiography was evaluated on Identification of a culprit lesion in MINOCA. Intravascular ultrasound and optical coherence tomography identify culprit lesions in up to 38% and 46% to 80% of MINOCA patients, respectively, when standard angiography is nondiagnostic.
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