Optical Coherence Tomography for
Adult
Aged
Coronary Angiography
/ methods
Coronary Artery Disease
/ diagnosis
Coronary Thrombosis
/ diagnosis
Coronary Vessel Anomalies
/ diagnosis
Female
Humans
Male
Middle Aged
Reproducibility of Results
Retrospective Studies
Sensitivity and Specificity
Tomography, Optical Coherence
/ methods
Vascular Diseases
/ congenital
PCI optimization
Spontaneous recanalization of coronary thrombus
complicated atherosclerotic plaque
optical coherence tomography
spontaneous coronary dissection
Journal
In vivo (Athens, Greece)
ISSN: 1791-7549
Titre abrégé: In Vivo
Pays: Greece
ID NLM: 8806809
Informations de publication
Date de publication:
Historique:
received:
31
10
2019
revised:
08
11
2019
accepted:
19
11
2019
entrez:
1
3
2020
pubmed:
1
3
2020
medline:
24
11
2020
Statut:
ppublish
Résumé
Spontaneous recanalization of coronary thrombus (SRCT) is a rare in vivo appearance, with a nonspecific angiographic aspect. The aim of this study was to investigate the importance of optical coherence tomography (OCT) use for SRCT identification, characterization of pathogenic mechanisms and optimal treatment. We retrospectively analyzed all patients with angiographic suspicion of SRCT who underwent coronary angiography for suspected coronary artery disease and afterward investigated by OCT imaging. We identified 28 cases with angiographic suspicion of SCRT (0.41% of CA) and confirmed it in 4 patients (0.05% of CA). OCT provided insight about the underlying SRCT mechanism: possible complicated atherosclerotic plaques in two cases and, respectively, spontaneous coronary artery dissection in other two cases. OCT provided accurate lesion assessment and offered optimal PCI materials selection. Besides providing the diagnosis, OCT also improved characterization of SRCT pathogenic mechanisms, in the four confirmed SRCT cases, supporting the role of coronary wall in situ complications, namely dissection of an atherosclerotic plaque or spontaneous dissection of a normal coronary wall.
Sections du résumé
BACKGROUND/AIM
OBJECTIVE
Spontaneous recanalization of coronary thrombus (SRCT) is a rare in vivo appearance, with a nonspecific angiographic aspect. The aim of this study was to investigate the importance of optical coherence tomography (OCT) use for SRCT identification, characterization of pathogenic mechanisms and optimal treatment.
PATIENTS AND METHODS
METHODS
We retrospectively analyzed all patients with angiographic suspicion of SRCT who underwent coronary angiography for suspected coronary artery disease and afterward investigated by OCT imaging.
RESULTS
RESULTS
We identified 28 cases with angiographic suspicion of SCRT (0.41% of CA) and confirmed it in 4 patients (0.05% of CA). OCT provided insight about the underlying SRCT mechanism: possible complicated atherosclerotic plaques in two cases and, respectively, spontaneous coronary artery dissection in other two cases. OCT provided accurate lesion assessment and offered optimal PCI materials selection.
CONCLUSION
CONCLUSIONS
Besides providing the diagnosis, OCT also improved characterization of SRCT pathogenic mechanisms, in the four confirmed SRCT cases, supporting the role of coronary wall in situ complications, namely dissection of an atherosclerotic plaque or spontaneous dissection of a normal coronary wall.
Identifiants
pubmed: 32111780
pii: 34/2/745
doi: 10.21873/invivo.11834
pmc: PMC7157861
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
745-756Informations de copyright
Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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