Imaging Techniques for the Assessment of Coronary Arteries in Diabetic Patients Undergoing PCI with Bioresorbable Vascular Scaffolds
Patients who suffer from diabetes mellitus and present coronary artery disease are at a higher risk of cardiovascular events. The coronary arteries of diabetic patients present a diffuse process of atherosclerosis with frequent distal involvement, being prone to acute cardiovascular events. Diabetic...
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doaj-6e0a146b9538442498169ee6d3782d892020-11-24T20:59:26ZengSciendoJournal of Interdisciplinary Medicine2501-81322017-03-0121364010.1515/jim-2017-0030jim-2017-0030Imaging Techniques for the Assessment of Coronary Arteries in Diabetic Patients Undergoing PCI with Bioresorbable Vascular ScaffoldsCordunean Alina0Hodas Roxana1Benedek Edvin2Bordi Lehel3Benedek Imre4Benedek Theodora5Center of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, RomaniaCenter of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, RomaniaCenter of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, RomaniaCenter of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, RomaniaCenter of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, RomaniaCenter of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, RomaniaPatients who suffer from diabetes mellitus and present coronary artery disease are at a higher risk of cardiovascular events. The coronary arteries of diabetic patients present a diffuse process of atherosclerosis with frequent distal involvement, being prone to acute cardiovascular events. Diabetics present an increased rate of developing coronary artery remodeling, negative remodeling being representative for this class of patients; this process is characterized by vessel shrinkage and an increased rate of coronary calcium accumulation that is a predictor for cardiovascular risk. Currently, it is desired to improve the treatment of diabetic patients with bioresorbable vascular scaffolds (BVS), because of their reduced risk of restenosis and the ability to restore coronary function, including vasomotion, adaptive shear stress, and expansive remodeling. Optical coherence tomography, intravascular ultrasound and multi-slice computed tomography are imaging techniques used for a high accuracy of diagnosis in coronary artery disease. This manuscript is a review that aims to highlight imaging techniques used for evaluating the functional impact of coronary lesions in diabetic patients who underwent coronary PCI with bioresorbable scaffolds and to describe the functional markers that show the specificity for predicting coronary artery disease.http://www.degruyter.com/view/j/jim.2017.2.issue-1/jim-2017-0030/jim-2017-0030.xml?format=INTdiabetes mellituscoronary artery diseasebioresorbable scaffoldmulti-slice computed tomographyshear stressoptical coherence tomographyintravascular ultrasound |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cordunean Alina Hodas Roxana Benedek Edvin Bordi Lehel Benedek Imre Benedek Theodora |
spellingShingle |
Cordunean Alina Hodas Roxana Benedek Edvin Bordi Lehel Benedek Imre Benedek Theodora Imaging Techniques for the Assessment of Coronary Arteries in Diabetic Patients Undergoing PCI with Bioresorbable Vascular Scaffolds Journal of Interdisciplinary Medicine diabetes mellitus coronary artery disease bioresorbable scaffold multi-slice computed tomography shear stress optical coherence tomography intravascular ultrasound |
author_facet |
Cordunean Alina Hodas Roxana Benedek Edvin Bordi Lehel Benedek Imre Benedek Theodora |
author_sort |
Cordunean Alina |
title |
Imaging Techniques for the Assessment of Coronary Arteries in Diabetic Patients Undergoing PCI with Bioresorbable Vascular Scaffolds |
title_short |
Imaging Techniques for the Assessment of Coronary Arteries in Diabetic Patients Undergoing PCI with Bioresorbable Vascular Scaffolds |
title_full |
Imaging Techniques for the Assessment of Coronary Arteries in Diabetic Patients Undergoing PCI with Bioresorbable Vascular Scaffolds |
title_fullStr |
Imaging Techniques for the Assessment of Coronary Arteries in Diabetic Patients Undergoing PCI with Bioresorbable Vascular Scaffolds |
title_full_unstemmed |
Imaging Techniques for the Assessment of Coronary Arteries in Diabetic Patients Undergoing PCI with Bioresorbable Vascular Scaffolds |
title_sort |
imaging techniques for the assessment of coronary arteries in diabetic patients undergoing pci with bioresorbable vascular scaffolds |
publisher |
Sciendo |
series |
Journal of Interdisciplinary Medicine |
issn |
2501-8132 |
publishDate |
2017-03-01 |
description |
Patients who suffer from diabetes mellitus and present coronary artery disease are at a higher risk of cardiovascular events. The coronary arteries of diabetic patients present a diffuse process of atherosclerosis with frequent distal involvement, being prone to acute cardiovascular events. Diabetics present an increased rate of developing coronary artery remodeling, negative remodeling being representative for this class of patients; this process is characterized by vessel shrinkage and an increased rate of coronary calcium accumulation that is a predictor for cardiovascular risk. Currently, it is desired to improve the treatment of diabetic patients with bioresorbable vascular scaffolds (BVS), because of their reduced risk of restenosis and the ability to restore coronary function, including vasomotion, adaptive shear stress, and expansive remodeling. Optical coherence tomography, intravascular ultrasound and multi-slice computed tomography are imaging techniques used for a high accuracy of diagnosis in coronary artery disease. This manuscript is a review that aims to highlight imaging techniques used for evaluating the functional impact of coronary lesions in diabetic patients who underwent coronary PCI with bioresorbable scaffolds and to describe the functional markers that show the specificity for predicting coronary artery disease. |
topic |
diabetes mellitus coronary artery disease bioresorbable scaffold multi-slice computed tomography shear stress optical coherence tomography intravascular ultrasound |
url |
http://www.degruyter.com/view/j/jim.2017.2.issue-1/jim-2017-0030/jim-2017-0030.xml?format=INT |
work_keys_str_mv |
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1716782347315052544 |