Healed Erosion: The Role of Pre-interventional Optical Coherence Tomography in a Patient Clinically Suspected of Having Unstable Angina with Coronary Spasm
| Autor: | Reo Anai, Masaru Araki, Shinjo Sonoda, Yuki Tsuda, Yutaro Naka, Hiroki Okabe, Toshiya Miura, Koshi Setoyama, Yutaka Otsuji, Konosuke Inoue |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Spasm medicine.medical_treatment drug-coated balloon Coronary Vasospasm Case Report 030204 cardiovascular system & hematology Anterior Descending Coronary Artery Chest pain Balloon Revascularization Coronary Angiography Coronary Restenosis 03 medical and health sciences 0302 clinical medicine Restenosis Optical coherence tomography Internal medicine Internal Medicine medicine Humans Angina Unstable healed plaque optical coherence tomography medicine.diagnostic_test Unstable angina business.industry General Medicine Middle Aged medicine.disease Coronary Vessels coronary spasm Stenosis Treatment Outcome Cardiology 030211 gastroenterology & hepatology medicine.symptom business Tomography Optical Coherence |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | A 46-year-old man complained of chest pain at rest for the past three months. His symptoms gradually exacerbated and were suspected of being due to unstable angina. A coronary angiogram revealed focal tight stenosis at the proximal left anterior descending coronary artery with gross spastic coronary findings. Optical coherence tomography (OCT) revealed layered low-intensity structures with microvessels and the accumulation of macrophages, which indicated progressive stenosis with multiple-layered organized thrombus caused by coronary erosion. We treated the stenosis using a drug-coated balloon instead of drug-eluting stents. There was no restenosis, and OCT revealed good plaque healing at follow-up. This case suggests that the pre-interventional OCT plaque morphology can have a positive impact on the revascularization strategy. |
| Databáze: | OpenAIRE |
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