EBC - ON DEMAND
Left main atheroma: Insight into mechanical properties of plaque
European Bifurcation Club 2011 – EBC 2011 – Lisbon, Portugal
Mr John Doe left main stenting
Left main atheroma: Insight into mechanical properties of plaque
Author: Gérard Finet, MD, PhD, Cardiovascular Hospital Hospices Civils de Lyon
CONCLUSION
A biomechanical approach to atherosclerotic plaque and PCI is mandatory to improve our knowledge and our way of thinking, but does not necessarily makes things more comprehensible, but rather often adds novel complexities
Computerized simulation is a very useful tool for that
These simulations require in vivo assessment of plaque geometry and precise elasticity maps.
Grayscale IVUS or VH offer this geometrical assessment but without accuracy for detecting Young’s moduli.
IVUS with Modulography could probably provide these data.