Image in cardiology

A unique feature of thin flat thrombus visualised by optical coherence tomography

EuroIntervention 2013;9:1008. DOI: 10.4244/EIJV9I8A169

Teruyoshi Kume
Teruyoshi Kume, MD; Hiroyuki Okura*, MD; Kenzo Fukuhara, MD; Terumasa Koyama, MD; Shintaro Nezuo, MD; Yoji Neishi, MD; Akihiro Hayashida, MD; Takahiro Kawamoto, MD; Kiyoshi Yoshida, MD
Department of Cardiology, Kawasaki Medical School, Kurashiki, Japan
Optical coherence tomography (OCT) has recently been developed as a high-resolution intravascular imaging modality, detecting small abnormal structures in the coronary lumen that could not be visualised by intravascular ultrasound (IVUS).

A 77-year-old man died with acute myelogenous leukemia. After he died, the coronary artery was imaged by OCT (ImageWire; LightLab Imaging, Westford, MA, USA) and IVUS (Atlantis SR Pro, 40 MHz; Boston Scientific, Natick, MA, USA). OCT clearly demonstrated a thin flat structure in the coronary lumen (Figure 1A, Moving image 1) but not in the IVUS image. This unique structural feature was demonstrated in corresponding histological images (Figure 1B, ...

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