ASSOCIATION BETWEEN CORONARY PLAQUE CHARACTERISTICS (NIRS/IVUS/OCT) AND SURGICAL OUTCOMES IN MULTIVESSEL CORONARY DISEASE
Keywords:
Multivessel coronary disease, coronary plaque, NIRS, IVUS, OCTAbstract
This study evaluates how intracoronary imaging modalities—including near-infrared spectroscopy, intravascular ultrasound, and optical coherence tomography—characterize plaque composition and structural vulnerability in patients with extensive coronary involvement. It highlights the diagnostic relevance of identifying lipid burden, cap thickness, and plaque morphology, and correlates these findings with perioperative and postoperative outcomes. By examining imaging-derived parameters and their association with surgical efficiency, complication rates, and long-term vessel patency, the research underscores the importance of individualized risk assessment in advanced coronary pathology. This section provides an extensive summary of how multimodal intracoronary assessment contributes to understanding lesion behavior in individuals with widespread coronary involvement undergoing revascularization. It highlights the clinical importance of identifying lipid concentration, structural fragility, and volumetric expansion within arterial walls and explains how these imaging-derived indicators relate to perioperative stability, graft functionality, and postoperative recovery. The analysis emphasizes the value of integrating multiple modalities to refine prognostic evaluation and guide operative decisions in complex cardiovascular pathology.
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