Silent plaque ruptures in non-obstructive lesions of non–infarct-related arteries: a multimodality, serial intracoronary imaging study
Plaque rupture in non-obstructive lesions of non-IRAs was present in 12% of AMI patients. Larger plaque volume, positive remodeling, and thinner fibrous cap were associated with rupture. More than half of untreated ruptures transitioned into stable morphologies. Thin-cap fibroatheroma was the most frequent underlying morphology of new-onset rupture.
Authors
- Jonas Häner (ORCID: https://orcid.org/0000-0002-1420-8967)
- Flavio Giuseppe Biccirè (ORCID: https://orcid.org/0000-0001-7094-6596)
- G Siontis
- Tatsuhiko Otsuka (ORCID: https://orcid.org/0000-0001-7737-0374)
- Christian M. Matter (ORCID: https://orcid.org/0000-0002-8124-1767)
- Iréne Lang (ORCID: https://orcid.org/0000-0003-0485-2692)
- Ernest Spitzer (ORCID: https://orcid.org/0000-0003-2371-5431)
- Sarah Bär (ORCID: https://orcid.org/0000-0003-0045-6596)
- Sylvain Losdat (ORCID: https://orcid.org/0000-0001-7673-4877)
- Yu-Jen Wang (ORCID: https://orcid.org/0000-0001-8387-3947)
- Konstantinos C. Koskinas (ORCID: https://orcid.org/0000-0002-5589-7762)
- Gregor Fahrni
- A S Ondracek
- J F Iglesias
- D Spirk
- H Shibutani
- Robert-Jan van Geuns
- Thomas Engstrøm
- Jacob Lønborg
- Lorenz Räber
- Yasushi Ueki
- Felix Mahfoud
- Ryota Kakizaki
- Joost Daemen
Institutions
- University of Bern (CH)
- Kansai Medical University (JP)
- Bern University of Applied Sciences (CH)
- Shinshu University (JP)
- Radboud University Nijmegen (NL)
- University of Basel (CH)
- Azienda Ospedaliera San Giovanni Addolorata (IT)
- University Hospital of Bern (CH)
- Erasmus MC (NL)
- University Hospital of Basel (CH)
- Copenhagen University Hospital (DK)
- Rigshospitalet (DK)
- Hospital Base (CL)
- University Hospital of Zurich (CH)
- Department of Biomedicine Basel (CH)
- Mie Chuo Medical Center (JP)
- Stadtspital Waid (CH)
- Cardialysis (Netherlands) (NL)
- Geneva College (US)
- Medical University of Vienna (AT)
- Sapienza University of Rome (IT)
- Erasmus University Rotterdam (NL)
Publication Details
- Journal
- European Heart Journal
- Published
- 2026-01-19
- DOI
- https://doi.org/10.1093/eurheartj/ehag037
- Citations
- 1
- Primary Topic
- Coronary Interventions and Diagnostics
- Type
- article
- Field-Weighted Citation Impact
- 39.15