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Rauschendorfer, P. ; Lenz, T.* ; Nicol, P.* ; Wild, L.* ; Beele, A.* ; Sabic, E.* ; Klosterman, G.R.* ; Laugwitz, K.L.* ; Jaffer, F.A.* ; Gorpas, D. ; Joner, M.* ; Ntziachristos, V.

Intravascular ICG-enhanced NIRF-IVUS imaging to assess progressive atherosclerotic lesions in excised human coronary arteries.

NPJ Cardiovasc. Health 1:14 (2024)
Publ. Version/Full Text DOI PMC
Open Access Gold (Paid Option)
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Indocyanine green (ICG)-enhanced intravascular near-infrared fluorescence (NIRF) imaging enhances the information obtained with intravascular ultrasound (IVUS) by visualizing pathobiological characteristics of atherosclerotic plaques. To advance our understanding of this hybrid method, we aimed to assess the potential of NIRF-IVUS to identify different stages of atheroma progression by characterizing ICG uptake in human pathological specimens. After excision, 15 human coronary specimens from 13 adult patients were ICG-perfused and imaged with NIRF-IVUS. All specimens were then histopathologically and immunohistochemically assessed. NIRF-IVUS imaging revealed colocalization of ICG-deposition to plaque areas of lipid accumulation, endothelial disruption, neovascularization and inflammation. Moreover, ICG concentrations were significantly higher in advanced coronary artery disease stages (p < 0.05) and correlated significantly to plaque macrophage burden (r = 0.67). Current intravascular methods fail to detect plaque biology. Thus, we demonstrate how human coronary atheroma stage can be assessed based on pathobiological characteristics uniquely captured by ICG-enhanced intravascular NIRF.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Cardiovascular Diseases ; Medical Imaging
ISSN (print) / ISBN 2948-2836
e-ISSN 2948-2836
Quellenangaben Volume: 1, Issue: 1, Pages: , Article Number: 14 Supplement: ,
Publisher Nature Publishing Group
Non-patent literature Publications
Reviewing status Peer reviewed