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

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Slow flow after stenting of a coronary lesion with a large lipid core plaque detected by near-infrared spectroscopy

EuroIntervention 2010;6:545.

1. University of Toledo, Toledo, OH, USA; 2. VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, TX, USA
Coronary angiography of a patient with non-ST segment elevation acute myocardial infarction, demonstrating an eccentric mid left anterior descending artery lesion (Panel A) associated with a large lipid core plaque by near-infrared spectroscopy (Panel B) and severe luminal stenosis by intravascular ultrasonography (Panel C). The results of near-infrared spectroscopy are presented as a chemogram, where yellow indicates lipid core plaque at longitudinal (x-axis) and rotational (y-axis) locations. After the lesion was stented with a 3.5 x 28 mm everolimus-eluting stent (Panel D), the patient developed slow flow and subsequent NIRS showed that the size of the lipid core had decreased (Panel E). ...

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Key word: collaboration