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European Heart Journal (1996) 17, 721-730
Differences in the morphology of unstable and stable coronary lesions and their impact on the mechanisms of angioplasty An in vivo study with intravascular ultrasound P. Kearney, R. Erbelf, H. J. Rupprecht, J. Ge±, L. Koch, T. Voigtlander, P. Stahr, G. Gorgef and J. Meyer //. Medizinische Klinik und Poliklinik, Johannes Gutenberg University, Langenbeckstrasse 1, 55101 Mainz, Germany; \Abteilung Kardiologie, Universitdtsklinikum Essen, Hufelandstrasse 55, 45122 Essen, Germany
The aim of this study was to compare the morphology of stable and unstable coronary lesions using intravascular ultrasound in patients undergoing coronary balloon angioplasty and to determine whether lesion morphology had any influence on the mechanism of balloon angioplasty.
The only significant morphological difference between stable and unstable lesions was the presence of a demarcated inner layer in unstable lesions, delimited by a fine circumferential line. This pattern was noted in 77% (14/18) of unstable lesions and in 7% (1/15) of stable lesions (/>
