Title

Plaque Character and Progression According to the Location of Coronary Atherosclerotic Plaque.

Document Type

Article

Publication Date

8-28-2021

Publication Title

American Journal of Cardiology

Abstract

Although acute coronary syndrome culprit lesions occur more frequently in the proximal coronary artery, whether the proximal clustering of high-risk plaque is reflected in earlier-stage atherosclerosis remains unclarified. We evaluated the longitudinal distribution of stable atherosclerotic lesions on coronary computed tomography angiography (CCTA) in 1,478 patients (mean age, 61 years; men, 58%) enrolled from a prospective multinational registry of consecutive patients undergoing serial CCTA. Of 3,202 coronary artery lesions identified, 2,140 left lesions were classified (based on the minimal lumen diameter location) into left main (LM, n = 128), proximal (n = 739), and other (n = 1,273), and 1,062 right lesions were classified into proximal (n = 355) and other (n = 707). Plaque volume (PV) was the highest in proximal lesions (median, 26.1 mm

Volume

Online ahead of print

DOI

10.1016/j.amjcard.2021.07.040

ISSN

1879-1913

PubMed ID

34465463

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