Evidence map›Paper›PMID 17765119›Full record

ArticleJournal of the American College of Cardiology2007

Assessment of culprit lesion morphology in acute myocardial infarction: ability of optical coherence tomography compared with intravascular ultrasound and coronary angioscopy.

Takashi Kubo, Toshio Imanishi, Shigeho Takarada, Akio Kuroi, Satoshi Ueno, Takashi Yamano, Takashi Tanimoto, Yoshiki Matsuo, Takashi Masho, Hironori Kitabata and 3 more

2 registry-linked trialsAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of the American College of Cardiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 244 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
244citing papers in PubMed, 3 pooled it
38.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03007524 phase4unknown statusstarted 2016, after this paper: background citation

A Randomized Comparison of Low-dose Versus High-dose Rosuvastatin on Optical Coherence Tomography Based Early Vascular Healing for Patients With Acute Coronary Syndrome

Ran2016Enrolled80Registered outcomes25Posted comparisons0ConditionsAcute Coronary SyndromeArmsHigh dose Rosuvastatin, Low dose Rosuvastatin
Open the trial in the graph
NCT01271361 phase1 / phase2completednot on this mapstarted 2010, after this paper: background citation

Randomized Study to Assess the Effect of ThRombus Aspiration on Flow Area in STEMI Patients: an Optical Frequency Domain Imaging (OFDI) Study

TypeinterventionalSponsorTerumo Europe N.V.Ran2010 to 2012Enrolled140ConditionsCoronary Artery Disease, Myocardial Infarction, STEMIArmsprimary PCI with thrombectomy, primary PCI without thrombectomy
3 · Its place in the literature

Who cites it

244 citing papers in PubMed, 3 syntheses or guidelines pooled it, 858 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  4. Trial
  5. Optical coherence tomography-guided percutaneous coronary intervention in acute coronary syndrome patients with complex lesions: a subgroup analysis of the randomised OCCUPI Trial.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
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  12. Article
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  16. Lesion stratification with intracoronary imaging.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2026
    Review
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184 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Takashi KuboDepartment of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan.
Toshio Imanishi
Shigeho Takarada
Akio Kuroi
Satoshi Ueno
Takashi Yamano
Takashi Tanimoto
Yoshiki Matsuo
Takashi Masho
Hironori Kitabata
Kazushi Tsuda
Yoshiaki Tomobuchi
Takashi Akasaka
Wakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the present study was to evaluate the ability of optical coherence tomography (OCT) for assessment of the culprit lesion morphology in acute myocardial infarction (AMI) in comparison with intravascular ultrasound (IVUS) and coronary angioscopy (CAS).

backgroundOptical coherence tomography is a new intravascular imaging method with a high resolution of approximately 10 microm. This may allow us to assess the vulnerable plaques in detail in vivo.

methodsWe enrolled 30 patients with AMI, and analyzed the culprit lesion by OCT, CAS, and IVUS.

resultsThe average duration from the onset of symptom to OCT imaging was 3.8 +/- 1.0 h. The incidence of plaque rupture observed by OCT was 73%, and it was significantly higher than that by CAS (47%, p = 0.035) and IVUS (40%, p = 0.009). Furthermore, OCT (23%) was superior to CAS (3%, p = 0.022) and IVUS (0%, p = 0.005) in the detection of fibrous cap erosion. The intracoronary thrombus was observed in all cases by OCT and CAS, but it was identified in 33% by IVUS (vs. OCT, p < 0.001). Only OCT could estimate the fibrous cap thickness, and it was 49 +/- 21 microm. The incidence of thin cap fibroatheroma (TCFA) was 83% in this population by OCT.

conclusionsOptical coherence tomography is a feasible imaging modality in patients with AMI and allows us to identify not only plaque rupture, but also fibrous cap erosion, intracoronary thrombus, and TCFA in vivo more frequently compared with conventional imaging techniques.

Indexed as

AngioscopyTomography, Optical CoherenceUltrasonography, InterventionalAgedCoronary VesselsFeasibility StudiesFemaleFibrosisHumansImage Processing, Computer-AssistedMaleMiddle AgedMyocardial InfarctionNecrosisRupture

Identifiers

PMID17765119
OpenAlexW1227880109

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.