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Utility of optical coherence tomography to assess a hazy intracoronary image after percutaneous coronary intervention.

Carrizo S, Salinas P, Jimenez-Valero S, Moreno R - Korean Circ J (2013)

Bottom Line: Based on the results of the OCT, the patient underwent an elective coronary angioplasty with standard anticoagulation.The use of OCT permitted a correct diagnosis and a successful treatment.This paper provides a discussion of the advantages and disadvantages of OCT, and a comparison with intravascular ultrasound.

View Article: PubMed Central - PubMed

Affiliation: University Hospital La Paz, Interventional Cardiology Department, Madrid, Spain.

ABSTRACT
Although its use in daily practice is not common, optical coherence tomography (OCT) is a powerful research tool in invasive cardiology. This report describes a hazy angiography image after percutaneous coronary intervention that has been assessed using OCT. Based on the results of the OCT, the patient underwent an elective coronary angioplasty with standard anticoagulation. After implantation of the stent, an intracoronary hazy image was seen on angiography. The use of OCT permitted a correct diagnosis and a successful treatment. This paper provides a discussion of the advantages and disadvantages of OCT, and a comparison with intravascular ultrasound.

No MeSH data available.


A severe lesion in the middle portion of the left anterior descendent coronary artery (arrow head).
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Figure 1: A severe lesion in the middle portion of the left anterior descendent coronary artery (arrow head).

Mentions: A 73-year-old female patient underwent coronary angiography after being admitted with a non-ST elevation myocardial infarction. We determined that the patient had 2 diseased coronary vessels, with the culprit lesion in the right coronary artery (RCA) and a severe lesion in the left anterior descending artery (LAD) (Fig. 1). We treated the RCA lesion with implantation with a bare metal stent (BMS). We deferred treatment of the LAD lesion for 3 weeks. The patient remained asymptomatic until the second procedure.


Utility of optical coherence tomography to assess a hazy intracoronary image after percutaneous coronary intervention.

Carrizo S, Salinas P, Jimenez-Valero S, Moreno R - Korean Circ J (2013)

A severe lesion in the middle portion of the left anterior descendent coronary artery (arrow head).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3569566&req=5

Figure 1: A severe lesion in the middle portion of the left anterior descendent coronary artery (arrow head).
Mentions: A 73-year-old female patient underwent coronary angiography after being admitted with a non-ST elevation myocardial infarction. We determined that the patient had 2 diseased coronary vessels, with the culprit lesion in the right coronary artery (RCA) and a severe lesion in the left anterior descending artery (LAD) (Fig. 1). We treated the RCA lesion with implantation with a bare metal stent (BMS). We deferred treatment of the LAD lesion for 3 weeks. The patient remained asymptomatic until the second procedure.

Bottom Line: Based on the results of the OCT, the patient underwent an elective coronary angioplasty with standard anticoagulation.The use of OCT permitted a correct diagnosis and a successful treatment.This paper provides a discussion of the advantages and disadvantages of OCT, and a comparison with intravascular ultrasound.

View Article: PubMed Central - PubMed

Affiliation: University Hospital La Paz, Interventional Cardiology Department, Madrid, Spain.

ABSTRACT
Although its use in daily practice is not common, optical coherence tomography (OCT) is a powerful research tool in invasive cardiology. This report describes a hazy angiography image after percutaneous coronary intervention that has been assessed using OCT. Based on the results of the OCT, the patient underwent an elective coronary angioplasty with standard anticoagulation. After implantation of the stent, an intracoronary hazy image was seen on angiography. The use of OCT permitted a correct diagnosis and a successful treatment. This paper provides a discussion of the advantages and disadvantages of OCT, and a comparison with intravascular ultrasound.

No MeSH data available.