A new technique for lipid core plaque detection by optical coherence tomography for prevention of peri-procedural myocardial infarction: A case report.

ABSTRACT:

Rationale

Percutaneous coronary intervention (PCI) provides effective revascularization of atherosclerotic coronary arteries but the invasive nature of treatment can result in complications.

Patient concerns

A 53-year old man underwent coronary angiography due to chest pain with minimal ST-segment elevation in the inferior leads of the electrocardiogram.

Diagnosis

We proceeded directly to coronary angiography and delineated a moderate stenosis with haziness in the mid right coronary artery (RCA).

Interventions

Expert analysis of the pre-intervention OCT imaging demonstrated a large lipid core plaque (LCP), upstream of the culprit site, with minimal thrombus burden. Subsequent implantation of a bioresorbable vascular scaffold, protected with distal deployment of

SUBMITTER: Kim Y 

PROVIDER: S-EPMC5466241 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature