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Cited by 872

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Coronary Angioscopy in Patients with Unstable Angina Pectoris

Sherman, C. Todd, Litvack, Frank, Grundfest, Warren, Lee, Myles, Hickey, Ann, Chaux, Aurelio, Kass, Robert, Blanche, Carlos, Matloff, Jack, Morgenstern, Leon, Ganz, William, Swan, H.J.C., Forrester, James·1986·New England Journal of Medicine

Abstract

To visualize intracoronary lesions in patients with different clinical expressions of coronary disease, we performed coronary angioscopy during coronary-artery bypass surgery in 10 patients with unstable angina and 10 patients with stable coronary disease. We examined a total of 32 vessels, using flexible fiberoptic angioscopes. Twenty-two vessels had no acute intimal lesion; three had complex plaques, six had thrombi, and one had both. Coronary angiography correctly identified the absence of complex plaque and thrombus in 22 vessels, but it detected only one of four complex plaques and one of seven thrombi. On angioscopy, none of the 17 arteries in the patients with stable coronary disease had either a complex plaque or thrombus. In the "offending" arteries of the patients with unstable angina, all three patients with accelerated angina had complex plaques and all seven with angina at rest had thrombi. We conclude that angioscopy frequently reveals complex plaques or thrombi not detected by coronary angiography. Our observations suggest that anginal syndromes that are refractory to medical treatment can be caused by unstable pathologic processes in the intima. Ulceration of plaques may increase the frequency and severity of effort angina, and the subsequent development of partially occlusive thrombi may cause unstable rest angina.

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Crossref · 10.1056/nejm198610093151501

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Metadata

Authors
Sherman, C. T., Litvack, F., Grundfest, W., Lee, M., Hickey, A., Chaux, A., Kass, R., Blanche, C., Matloff, J., Morgenstern, L., Ganz, W., Swan, H. J. C., & Forrester, J.
Venue
New England Journal of Medicine
Published
1986-10-09
Volume
315
Issue
15
Pages
913-919
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2330349737
Cited by
872
References
16
FWCI
95.17
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Coronary Angioscopy in Patients with Unstable Angina Pectoris. https://app.cochat.ai/papers/10.1056/nejm198610093151501
The paper
Sherman, C. T., Litvack, F., Grundfest, W., Lee, M., Hickey, A., Chaux, A., Kass, R., Blanche, C., Matloff, J., Morgenstern, L., Ganz, W., Swan, H. J. C., & Forrester, J. (1986). Coronary Angioscopy in Patients with Unstable Angina Pectoris. New England Journal of Medicine. https://doi.org/10.1056/nejm198610093151501

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.