Category Archives: Publications

Optical coherence tomography to Optimize results of Percutaneous coronary intervention in Patients with non–st-elevation acute coronary syndrome

ahaNicolas Meneveau, MD, PhD, Geraud Souteyrand, MD,  Pascal Motreff, MD, PhD, Christophe Caussin, MD, Nicolas Amabile, MD et 13 autres*

BACKGROUND: No randomized study has investigated the value of optical coherence tomography (OCT) in optimizing the results of percutaneous coronary intervention (PCI) for non–ST-segment elevation acute coronary syndromes.

METHODS: We conducted a multicenter, randomized study involving 240 patients with non–ST-segment elevation acute coronary syndromes to compare OCT-guided PCI (use of OCT pre- and post-PCI; OCT-guided group) to fluoroscopy-guided PCI (angiography-guided group). Cliquez pour voir plus :: Click to see more Optical coherence tomography to Optimize results of Percutaneous coronary intervention in Patients with non–st-elevation acute coronary syndrome

Mechanisms of stent thrombosis analysed by optical coherence tomography: insights from the national PESTO French registry

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Aims: angiography has limited value for identifying the causes of stent thrombosis (ST). We studied a large cohort of patients by optical coherence tomography (OCT) to explore ST characteristics and mechanisms. Cliquez pour voir plus :: Click to see more Mechanisms of stent thrombosis analysed by optical coherence tomography: insights from the national PESTO French registry

Invasive management without stents in selected acute coronary syndrome patients with a large thrombus burden: a prospective study of optical coherence tomography guided treatment decisions

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Geraud Souteyrand, MD; Nicolas Amabile, MD, PhD; Nicolas Combaret, MD; Sami Hammas, MD; Francesco Prati, MD, PhD; Colin Berry, MD, PhD; Bruno Pereira, MD; Jean-Rene Lusson, MD; Christophe Caussin, MD; Pascal Motreff, MD, PhD

ABSTRACT

Aims: To assess whether a strategy of invasive management without stents in selected acute coronary syndrome (ACS) patients with a large thrombus burden (LTB) might be feasible and safe. Cliquez pour voir plus :: Click to see more Invasive management without stents in selected acute coronary syndrome patients with a large thrombus burden: a prospective study of optical coherence tomography guided treatment decisions

Very late stent thrombosis related to incomplete neointimal coverage ….

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Nicolas Amabile, Geraud Souteyrand, Said Ghostine, Nicolas Combaret, Michel S. Slama, Nicolas Barber-Chamoux, Pascal Motreff, and Christophe Caussin

Very late stent thrombosis related to incomplete neointimal coverage or neoatherosclerotic plaque rupture identified by optical coherence tomography imaging.
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AIMS : Recent data have reported that neoatherosclerosis could develop long after stent implantation and lead to subsequent rupture and acute coronary syndrome (ACS). We sought to identify the presence of in-stent neoatheroma (ISNA) in patients with very late stent thrombosis (VLST) using optical coherence tomography (OCT). Cliquez pour voir plus :: Click to see more Very late stent thrombosis related to incomplete neointimal coverage ….

Analysis of residual thrombotic burden after thrombus aspiration in acute ST elevation myocardial infarction: An optical coherence tomographic evaluation

Sami Hammas, Aurélie Veugeois, Christophe Caussin, Nicolas Amabile

Thrombus remains a limiting factor for achieving percutaneous coronary intervention (PCI) success during acute coronary syndrome, Cliquez pour voir plus :: Click to see more Analysis of residual thrombotic burden after thrombus aspiration in acute ST elevation myocardial infarction: An optical coherence tomographic evaluation