TY - JOUR A2 - Aroney, C. N. A2 - Alpert, J. AU - De Maria, Giovanni Luigi AU - Patel, Niket AU - Kassimis, George AU - Banning, Adrian P. PY - 2013 DA - 2013/12/19 TI - Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention SP - 364247 VL - 2013 AB - The detachment of atherothrombotic material from the atherosclerotic coronary plaque and downstream embolisation is an underrecognized phenomenon and it causes different degrees of impairment of the coronary microcirculation. During treatment of obstructive atherosclerotic plaque by percutaneous coronary intervention (PCI) distal embolisation (DE) is considered to be inevitable and it is associated with potential clinical and prognostic implications. This review aims to assess the main aspects of both spontaneous and procedural DE, analyze their different pathophysiology, provide specific insights on the main diagnostic tools for their identification, and finally focus on the main strategies for their treatment and prevention. SN - null UR - https://doi.org/10.1155/2013/364247 DO - 10.1155/2013/364247 JF - Scientifica PB - Hindawi Publishing Corporation KW - ER -