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Carotid artery OCT in cerebral infarction.
https://asahi-u.repo.nii.ac.jp/records/2352
https://asahi-u.repo.nii.ac.jp/records/235274e3f48b-680d-4b04-9049-794d3bc301c5
| Item type | 朝日大学 教育・研究業績(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2015-02-20 | |||||
| タイトル | ||||||
| タイトル | Carotid artery OCT in cerebral infarction. | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_1843 | |||||
| 資源タイプ | other | |||||
| アクセス権 | ||||||
| アクセス権 | metadata only access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
| 業績分類 | ||||||
| 値 | 学術雑誌論文 | |||||
| 教員氏名 |
竹村, 元三
× 竹村, 元三 |
|||||
| 発行、発表雑誌等、又は発表学会等の名称 | ||||||
| 値 | JACC Cardiovasc Imaging. | |||||
| 巻 | ||||||
| 値 | 6 | |||||
| 号 | ||||||
| 値 | 11 | |||||
| 掲載ページ | ||||||
| 値 | 1215-6 | |||||
| 単著、共著の別 | ||||||
| 値 | 共著 | |||||
| 発行又は発表の年月 | ||||||
| 日付 | 2013-11 | |||||
| PubMed番号 | ||||||
| 値 | 24229775 | |||||
| 概要 | ||||||
| 値 | We present anecdotal examples of internal carotid artery (ICA) OCT images of plaque morphology in the patients afflicted by acute cerebral infarction. An 83-year-old man presented with sudden hemiplegia while praying in a temple (2 METs). Magneticresonance angiography revealed an ipsilateral ischemic lesionwith 60% stenosis of the right internal carotid artery. Ten days after onset, we first tried to perform carotid artery stenting (CAS) of the culprit lesion as recently proposed by the randomized controlled trial SAPPHIRE (Stenting and Angioplasty With Protection in Patients at High Risk for Endarterectomy). During balloon occlusion of the right common carotid artery with distal protection, we performed OCT (M2 OCT Imaging system, LightLab Imaging, Westford, Massachusetts) using a 0.016-inch OCT catheter (Imagewire, LightLab Imaging) to characterize the tissue components of the culprit lesion. OCT revealed a ruptured fibrous cap with a thickness of 130 mm and thrombus formation distal to the site of rupture. The red thrombus was ccompanied by optical signal attenuation, and suggested the plaque rupture and thrombus formation were of recent origin. Accordingly, CAS was deferred in favor of carotid endarterectomy to reduce the risk of embolic complications. Similarly, a 76-year-old man presented with sudden hemiplegia.Eleven days after onset, angiography revealed an ipsilateral ischemic lesion with 60% stenosis of the left ICA. The OCT,however, revealed multiple plaque rupture sites with thrombus formation distal to the site of plaque rupture. | |||||
