covid
Buscar en
Revista Brasileira de Cardiologia Invasiva (English Edition)
Toda la web
Inicio Revista Brasileira de Cardiologia Invasiva (English Edition) Optical Coherence Tomography in the Management of Intermediate Lesion in a Patie...
Journal Information
Vol. 22. Issue 2.
Pages 188-193 (June 2014)
Share
Share
Download PDF
More article options
Vol. 22. Issue 2.
Pages 188-193 (June 2014)
Case Report
Open Access
Optical Coherence Tomography in the Management of Intermediate Lesion in a Patient with Acute Coronary Syndrome
Visits
1872
Evandro Martins Filho, Daniel Chamié
Corresponding author
daniel.chamie@gmail.com

Correspondence to: Daniel Chamié. Avenida Dr. Dante Pazzanese, 500 – Vila Mariana – CEP: 04012-180 – São Paulo, SP, Brazil
, Áurea J. Chaves, Alexandre Abizaid
Instituto Dante Pazzanese de Cardiologia, Sao Paulo, SP, Brazil.
This item has received

Under a Creative Commons license
Article information
ABSTRACT

Optical coherence tomography provides high-resolution tomography imaging of the coronary microstructure, allowing for detailed characterization of atherosclerotic plaque components and morphology, in addition to an accurate determination of vascular dimensions. We report the case of a patient with an intermediate coronary lesion, presenting in the subacute phase of a myocardial infarction, in whom optical coherence tomography was used as an adjunctive diagnostic method to aid in the decision-making process and to guide the inter- ventional procedure.

DESCRIPTORS: Arteriosclerosis. Myocardial infarction. Coronary stenosis. Tomography, optical coherence. Percutaneous coronary intervention. Stents.

RESUMO

Utilizacào da Tomografia de Coerencia Ótica na Abordagem de Lesào Intermediària em Paciente com Síndrome Coronariana Aguda

A tomografìa de coerencia ótica fornece imagens tomográficas da microestrutura coronària em alta resolugao, possibilitando detalhada caracterizagao dos componentes e da morfologia da placa aterosclerótica, além de acurada determinagao das dimensoes vasculares. Relatamos aqui o caso de um paciente com lesao intermediària, na fase subaguda de um infarto do miocàrdio, no qual a tomografìa de coerencia ótica foi utilizada como método diagnóstico complementar para a tomada de decisao e para guiar o procedimento.

DESCRITORES: Arteriosclerose. Infarto do miocardio. Estenose coronaria. Tomografia de coerencia óptica. Intervengao coronaria percutanea. Stents.

Full text is only aviable in PDF
REFERENCES
[1.]
R. Virmani, F.D. Kolodgie, A.P. Burke, A. Farb, S.M. Schwartz.
Lessons from sudden coronary death: a comprehensive morphological classification scheme for atherosclerotic lesions.
Arterioscler Thromb Vasc Biol, 20 (2000), pp. 1262-1275
[2.]
W.C. Little, M. Constantinescu, R.J. Applegate, M.A. Kutcher, M.T. Burrows, F.R. Kahl, et al.
Can coronary angiography predict the site of a subsequent myocardial infarction in patients with mild-to-moderate coronary artery disease?.
Circulation, 78 (1988), pp. 1157-1166
[3.]
E. Falk, P.K. Shah, V. Fuster.
Coronary plaque disruption.
Circulation, 92 (1995), pp. 657-671
[4.]
R.A. Kerensky, M. Wade, P. Deedwania, W.E. Boden, C.J. Pepine.
Veterans Affairs Non QWISi-HTI. Revisiting the culprit lesion in non-Q-wave myocardial infarction. Results from the VANQWISH trial angiographic core laboratory.
J Am Coll Cardiol, 39 (2002), pp. 1456-1463
[5.]
W. Wijns, P. Kolh, N. Danchin, C. Di Mario, V. Falk, T. Folliguet, et al.
Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS); European Association for Percutaneous Cardiovascular Interventions (EAPCI). Guidelines on myocardial revascularization..
Eur Heart J, 31 (2010), pp. 2501-2555
[6.]
G.N. Levine, E.R. Bates, J.C. Blankenship, S.R. Bailey, J.A. Bittl, B. Cercek, et al.
2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions..
J Am Coll Cardiol, 58 (2011), pp. e44-e122
[7.]
N.H. Pijls, J.A. van Son, R.L. Kirkeeide, B. De Bruyne, K.L. Gould.
Experimental basis of determining maximum coronary, myocardial, and collateral blood flow by pressure measurements for assessing functional stenosis severity before and after percutaneous transluminal coronary angioplasty.
Circulation, 87 (1993), pp. 1354-1367
[8.]
B. De Bruyne, N.H. Pijls, J. Bartunek, K. Kulecki, J.W. Bech, H. De Winter, et al.
Fractional flow reserve in patients with prior myocardial infarction.
Circulation, 104 (2001), pp. 157-162
[9.]
M.J. Kern, H. Samady.
Current concepts of integrated coronary physiology in the catheterization laboratory.
J Am Coll Cardiol, 55 (2010), pp. 173-185
[10.]
H. Yabushita, B.E. Bouma, S.L. Houser, H.T. Aretz, I.K. Jang, K.H. Schlendorf, et al.
Characterization of human atherosclerosis by optical coherence tomography.
Circulation, 106 (2002), pp. 1640-1645
[11.]
T. Kume, T. Akasaka, T. Kawamoto, H. Okura, N. Watanabe, E. Toyota, et al.
Measurement of the thickness of the fibrous cap by optical coherence tomography.
Am Heart J, 152 (2006), pp. 755
[12.]
G.J. Tearney, H. Yabushita, S. Houser, H.T. Aretz, I.K. Jang, K.H. Schlendorf, et al.
Quantification of macrophage content in atherosclerotic plaques by optical coherence tomography.
Circulation, 107 (2003), pp. 113-119
[13.]
R. Virmani, A.P. Burke, A. Farb, F.D. Kolodgie.
Pathology of the unstable plaque.
Prog Cardiovasc Dis, 44 (2002), pp. 349-356
[14.]
T. Kubo, T. Imanishi, S. Takarada, A. Kuroi, S. Ueno, T. Yamano, et al.
Assessment of culprit lesion morphology in acute myocardial infarction: ability of optical coherence tomography compared with intravascular ultrasound and coronary angioscopy.
J Am Coll Cardiol, 50 (2007), pp. 933-939
[15.]
T. Kume, T. Akasaka, T. Kawamoto, Y. Ogasawara, N. Watanabe, E. Toyota, et al.
Assessment of coronary arterial thrombus by optical coherence tomography.
Am J Cardiol, 97 (2006), pp. 1713-1717
[16.]
N. Gonzalo, J. Escaned, F. Alfonso, C. Nolte, V. Rodriguez, P. Jimenez-Quevedo, et al.
Morphometric assessment of coronary stenosis relevance with optical coherence tomography: a comparison with fractional flow reserve and intravascular ultrasound.
J Am Coll Cardiol, 59 (2012), pp. 1080-1089
[17.]
P.T. O'Gara, F.G. Kushner, D.D. Ascheim, D.E. Casey Jr., M.K. Chung, J.A. Lemos, et al.
2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.
J Am Coll Cardiol, 61 (2013), pp. e78-e140
[18.]
T. Kubo, T. Akasaka, J. Shite, T. Suzuki, S. Uemura, B. Yu, et al.
OCT compared with IVUS in a coronary lesion assessment: the OPUS-CLASS study.
JACC Cardiovasc Imaging, 6 (2013), pp. 1095-1104
Copyright © 2014. Sociedade Brasileira de Hemodinâmica e Cardiologia Invasiva
Download PDF
Article options