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Inicio Revista Brasileira de Cardiologia Invasiva (English Edition) Optical Coherence Tomography in the Management of Intermediate Lesion in a Patie...
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Vol. 22. Issue 2.
Pages 188-193 (June 2014)
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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
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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.
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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.

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Copyright © 2014. Sociedade Brasileira de Hemodinâmica e Cardiologia Invasiva
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