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Intravascular Ultrasound Image-Based Finite Element Modeling Approach for Quantifying In Vivo Mechanical Properties of Human Coronary Artery
Published on: December 6, 2024
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Imaging and physiologic characteristics of coronary kinks
Nikita Jhawar1, Shahyar Michael Gharacholou2
1Department of Cardiovascular Disease, Cooper University Hospital, Camden, NJ, USA.
Future Cardiology
|May 30, 2025
Summary
Coronary kinking is an underrecognized condition that can mimic other heart issues. This review provides a diagnostic approach to identify coronary kinks and prevent complications like ischemia and arrhythmia.
Area of Science:
- Cardiology
- Medical Diagnostics
Background:
- Coronary kinking is an underrecognized cause of stenotic lesions.
- Its etiology can be iatrogenic or non-iatrogenic, posing diagnostic challenges.
Purpose of the Study:
- To review and appraise published data on coronary kinks.
- To provide a diagnostic schema for investigating coronary kinks.
Main Methods:
- Review of published literature on coronary kinks.
- Discussion of diagnostic techniques including invasive coronary angiography (ICA), intravascular ultrasound (IVUS), and optical coherence tomography (OCT).
Main Results:
- Coronary kinks can mimic other stenotic lesions like atherosclerosis, fibromuscular dysplasia, and myocardial bridging.
- Intracoronary imaging is crucial for differentiating coronary kinks from other etiologies.
Conclusions:
- Accurate and early detection of coronary kinks is essential.
- Coronary kinks can lead to significant complications including ischemia and arrhythmia.
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