Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
ISSN-L : 1346-9843
Case Reports
Various Types of Plaque Disruption in Culprit Coronary Artery Visualized by Optical Coherence Tomography in a Patient With Unstable Angina
Takashi Tanimoto, Toshio Imanishi, Atsushi Tanaka, Takashi Yamano, Hironori Kitabata, Shigeho Takarada, Takashi Kubo, Nobuo Nakamura, Kumiko Hirata, Masato Mizukoshi, Takashi Akasaka
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Keywords: Optical coherence tomography, Plaque disruption, Unstable angina
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2009 Volume 73 Issue 1 Pages 187-189

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Abstract

A 58-year-old man underwent cardiac catheterization for unstable angina. The coronary angiogram revealed severe stenosis of the right coronary artery. Although 20-MHz, phased-array intravascular ultrasound (IVUS) only visualized eccentric, low echoic plaque at the culprit site, optical coherence tomography (OCT) clearly revealed ruptured plaque and an intraluminal thrombus. OCT also revealed a small ruptured plaque and an eroded plaque with intraluminal thrombi in a distal site remote from the culprit lesion, neither of which was visualized by IVUS. (Circ J 2009; 73: 187 - 189)

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© 2009 THE JAPANESE CIRCULATION SOCIETY
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