The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)
Calcified nodule: a double paradox on coronary imaging
EuroIntervention 2015;11:e1-e2 published online e-article August 2015. DOI: 10.4244/EIJV11I4A86
Fernando Alfonso*, MD, PhD, FESC; Fernando Rivero, MD; Javier Cuesta, MD; Teresa Bastante, MD; Amparo Benedicto, MD
Hospital Universitario de La Princesa, Madrid, Spain
A 75-year-old man presented with stable effort angina and normal cardiac biomarkers 10 years after the implantation of two bare metal stents in the proximal right coronary artery. Coronary angiography revealed a moderate lesion on the left anterior descending coronary artery, diffuse distal disease and good results of the two stents. However, a minor, intraluminal filling defect was detected in the segment between the two stents (Appendix Figure 1, Moving image 1). Optical coherence tomography (OCT), with the novel “co-registration” technique, confirmed excellent results in the two stents, nicely covered by a mild layer of homogeneous neointima. However, OCT demonstrated a bright, finger-like ...