Shah Ashish, Ing Douglas J
University Health Network, Toronto, ON, Canada M5G 0B2.
University Health Network, Toronto, ON, Canada M5G 0B2.
Cardiovasc Revasc Med. 2017 Mar;18(2):136-138. doi: 10.1016/j.carrev.2016.08.003. Epub 2016 Aug 20.
Stenting the culprit lesion in patients presenting with acute coronary syndrome (ACS) is the standard of care. Although plaque rupture on an atheromatous lesion is the most common underlying pathology, other mechanisms can also result in ACS presentation; some of which can be managed without stenting. Here we describe a case that was managed conservatively, after evaluating plaque erosion as the underlying mechanism and lack of obstructive lesion. This case highlights the importance of intracoronary imaging to assess the underlying mechanism in patients presenting with acute coronary syndrome.
对急性冠状动脉综合征（ACS）患者的罪犯病变进行支架置入是治疗的标准方法。虽然动脉粥样硬化病变上的斑块破裂是最常见的潜在病理机制，但其他机制也可导致ACS的发生；其中一些情况无需支架置入即可处理。在此，我们描述了一例在评估斑块侵蚀为潜在机制且无阻塞性病变后进行保守治疗的病例。该病例强调了冠状动脉内成像在评估急性冠状动脉综合征患者潜在机制方面的重要性。
