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Healed Erosion: The Role of Pre-interventional Optical Coherence Tomography in a Patient Clinically Suspected of Having Unstable Angina with Coronary Spasm.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2021 Jul 15; Vol. 60 (14), pp. 2241-2244. Date of Electronic Publication: 2021 Feb 15. - Publication Year :
- 2021
-
Abstract
- 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.
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 60
- Issue :
- 14
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 33583890
- Full Text :
- https://doi.org/10.2169/internalmedicine.6119-20