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What are the types of coronary lesions?

Cardio Thoracic Vessel Model

Coronary lesion type, location, and characteristics

Coronary artery lesions can vary in type, location, and characteristics, depending on the underlying cause and the severity of the blockage. Here are some common types of coronary artery lesions:

Stable plaque: This is the most common type of coronary artery lesion and is caused by the buildup of cholesterol, fatty deposits, and other substances on the inner walls of the arteries. Stable plaque can cause a gradual narrowing of the artery over time and may or may not cause symptoms.

Vulnerable plaque: This type of lesion is characterized by a thin fibrous cap covering a large lipid core, making it more prone to rupture and cause an acute coronary event such as a heart attack.

Calcified plaque: This type of lesion is associated with advanced coronary artery disease and is characterized by the buildup of calcium deposits in the arterial wall, which can make it more resistant to treatments like angioplasty.

In-stent restenosis: This occurs when scar tissue forms within a stent that has been implanted to open up a blocked artery, causing the artery to narrow again.

The location of a coronary artery lesion can also impact its severity and the risk of complications. Lesions that occur in the main branches of the coronary arteries or at bifurcations (where arteries divide into two branches) are typically more challenging to treat than those located in smaller side branches.

Characteristics of coronary artery lesions, such as size and length, also play a role in treatment decisions. Some lesions are better suited for treatment with medication or lifestyle interventions, while others may require more aggressive interventions, such as balloon angioplasty, stenting, or coronary artery bypass grafting (CABG). The choice of treatment depends on several factors, including the patient's overall health, the extent and location of the lesion, and the presence of symptoms.

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  • Trando 3D