Culprit of the Culprit
The Culprit of the Culprit is an emerging clinical application where VH® IVUS has the potential to help improve the technical success of treating culprit lesions in acute patients, especially STEMI. Because plaque rupture sites that lead to clinical events are often found proximal to the luminal narrowing, they can be missed up to 60% of the time if relying on angiography alone, resulting in stent edges landing in or completely missing necrotic core. VH IVUS can identify the necrotic core and plaque burden typical of ruptured atheromas responsible for thrombotic events.
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