Clinical & Experimental Cardiology
Open Access

Kunihiro Shimamura

Publications

• Research Article
  Optical Coherence Tomography Analysis of Clinical and Subclinical Plaque Rupture
  Author(s): Takashi Kubo, Atsushi Tanaka, Hironori Kitabata, Yoshiki Matsuo, Takashi Tanimoto, Kohei Ishibashi, Makoto Orii, Yasutsugu Shiono, Kunihiro Shimamura, Yuichi Ozaki, Yasushi Ino, Toshio Imanishi and Takashi AkasakaTakashi Kubo, Atsushi Tanaka, Hironori Kitabata, Yoshiki Matsuo, Takashi Tanimoto, Kohei Ishibashi, Makoto Orii, Yasutsugu Shiono, Kunihiro Shimamura, Yuichi Ozaki, Yasushi Ino, Toshio Imanishi and Takashi Akasaka
  
  Background: Coronary plaque ruptures occur not only in acute coronary syndrome (ACS) patients but also in non-ACS patients. There is a great interest in the reason why some plaque ruptures lead to ACS but others do not. We used optical coherence tomography (OCT) to identify anatomic features that lead to the development of culprit lesions causing ACS after plaque rupture. Methods: We assessed 102 plaque ruptures by using OCT and compared lesion morphologies between symptomatic plaque rupture in unstable angina pectoris (UAP; n=67) and silent plaque rupture in stable angina pectoris (SAP; n=35). Results: In the cross-sectional view, rupture was observed at plaque shoulder in 67% of UAP and 71% of SAP (p=0.660). In the longitudinal view, plaque rupture was located proximally to the minima.. View More»
  DOI: 10.4172/2155-9880.S1-002

  Abstract PDF

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