A Case Report: Directional coronary atherectomy supported with optical coherence tomography is useful for the slit lesion.

ABSTRACT:

Background

Directional coronary atherectomy (DCA) was revived in Japan in 2014. DCA is a special procedure to remove the atherosclerotic plaque of coronary artery during percutaneous coronary intervention. We present the case of a 91-year-old woman with symptoms of angina. Coronary angiography revealed significant stenosis with a slit lesion of the proximal left anterior descending artery. Because she had a high risk of bleeding, we did not want to implant a stent to prevent bleeding events. Then, we performed optical coherence tomography (OCT) and intravascular ultrasound to evaluate the morphology of the slit lesion in more detail. OCT showed clearly that the direction of the flap was counterclockwise and the edge of the flap was located in the epicardium. Since we could understa

SUBMITTER: Niizeki T 

PROVIDER: S-EPMC8766346 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature