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August 7, 2026npj Cardiovascular HealthOpen Access

Optical coherence tomography in the identification and risk stratification of vulnerable coronary plaques

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Authors

PTPanagiotis TheofilisHippocration General HospitalPKPaschalis KarakasisIppokrateio General Hospital of ThessalonikiPanayotis K. VlachakisPanayotis K. VlachakisInterventional / Structural Cardiology

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Implication

Randomized trial reveals risk stratification of vulnerable coronary plaques in patients with atherosclerosis, suggesting improved diagnostic capabilities.

Key Points

  • To assess the role of optical coherence tomography (OCT) in identifying vulnerable coronary plaques and their associated risks.
  • Utilized optical coherence tomography (OCT) for in vivo assessment of coronary plaques.
  • Evaluated plaque features linked to cardiovascular events in patients with stable and acute coronary syndromes.
  • Explored the impact of advances in automation and AI for clinical applications.
  • Identified OCT-defined high-risk morphology associated with plaque progression and adverse events.
  • Demonstrated the additional information OCT provides, especially in diabetes and multivessel disease.
  • Findings are risk markers and do not serve as standalone treatment recommendations.

Cite This Study

Theofilis et al. (2026) studied this question.

synapsesocial.com/papers/6a758c01847ab6d26c01fa9dhttps://doi.org/10.1038/s44325-026-00150-5
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of coronary plaques and atherosclerosis using optical coherence tomography2021 · 29 citations
  2. 2Prognostic Role and Therapeutic Implications of Intravascular Optical Coherence Tomography Detected Coronary Plaque Microstructures in Patients with Coronary Artery Disease2025
  3. 3Optical Coherence Tomography for Study of In Vivo Pathobiology and for Optimization of Percutaneous Coronary Intervention2017 · 1 citations
  4. 4Identifying stable coronary plaques with OCT technology2016 · 2 citations
  5. 5Role of Optical Coherence Tomography in Coronary Interventions2024 · 1 citations