The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Image in cardiology

Coronary artery perforation imaged through 3-dimensional optical coherence tomography

EuroIntervention 2012;8:166-168. DOI: 10.4244/EIJV8I1A25

1. Catholic University of Sacred Heart-Policlinico “A.Gemelli”, Rome, Italy; 2. Interventional Cardiology Unit, San Giovanni Hospital, Rome, Italy
A 54-year-old man with non-ST elevation myocardial infarction (NSTEMI) underwent percutaneous coronary intervention (PCI) for a severe stenosis in the first marginal branch of the left circumflex coronary artery (LCx-OM1) (Figure 1).



Figure 1. Angiographic and optical frequency domain imaging (OFDI) findings before coronary artery perforation occurred. A) Coronary angiography showing long, severe stenosis (type B of ACC/AHA classification) of the first marginal branch of the left circumflex artery (LCx-OM1). B) Quantitative coronary angiography (QCA) showing that the second area of maximal stenosis is located exactly 35 mm distal from LCx ostium (compare with panel E). C) Coronary angiography shows ...

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