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再通冠状动脉血栓:光学相干断层扫描在识别缓慢演变且被低估的冠状动脉病变中的作用

Recanalized Coronary Thrombus: Role of OCT in Identifying a Slow-Evolving and Underestimated Coronary Lesion.

作者信息

Vincent Flavien, Ledermann Bertrand, Ricci Jean-Etienne, Cayla Guillaume, Lattuca Benoit

机构信息

Centre Hospitalier Universitaire de Nîmes, Service de Cardiologie, Nîmes, France.

CHU Lille, Institut Cœur Poumon, Cardiology, Department of Interventional Cardiology for Coronary, Valves and Structural Heart Diseases, Inserm, U1011, Institut Pasteur de Lille, EGID, Université de Lille, Lille, France.

出版信息

JACC Case Rep. 2020 Dec 16;2(15):2411-2413. doi: 10.1016/j.jaccas.2020.09.054. eCollection 2020 Dec.

Abstract

Pathological studies have revealed spontaneous recanalized coronary thrombi as a frequent evolution of coronary occlusions; however, they are poorly recognized on coronary angiography, and the optimal therapeutic strategy for clinical evolution is unknown. We report the role of optical coherence tomography in identifying a recanalized coronary thrombus causing myocardial ischemia after 11 years of follow-up. ().

摘要

病理学研究显示,冠状动脉血栓自发再通是冠状动脉闭塞的常见演变过程;然而,冠状动脉造影对其识别较差,且临床演变的最佳治疗策略尚不清楚。我们报告了光学相干断层扫描在随访11年后识别导致心肌缺血的再通冠状动脉血栓中的作用。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/8305122/d0beee443060/fx1.jpg

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