Coronary dissection healing patterns: from complete resolution to restenosis, insights from optical coherence tomography

被引：7

作者：

Alfonso, Fernando ^{[1
]}

Canales, Eric ^{[1
]}

Dutary, Jaime ^{[1
]}

Cruz, Angel ^{[1
]}

机构：

[1] San Carlos Univ Hosp, Cardiovasc Inst, Intervent Cardiol Dept, Madrid, Spain

来源：

EUROINTERVENTION | 2011年 / 7卷 / 02期

关键词：

INTRAVASCULAR ULTRASOUND; STENT; OUTCOMES;

D O I：

10.4244/EIJV7I2A43

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 68-year-old patient presented a long, type C coronary dissection after balloon angioplasty of a focal lesion in a distal marginal branch. Due to the small vessel size the dissection was left untreated. At angiographic follow-up the dissection had completely disappeared, but a localised restenosis was found in the proximal vessel. Optical coherence tomography (OCT) confirmed the complete healing of the dissection and revealed a normal vessel wall (restitutio ad integrum). This technique also provided unique insights into the underlying substrate of the proximal restenosis unravelling a complicated plaque with associated thrombus.

引用

页码：270 / 273

页数：4

共 13 条

[1] Residual coronary dissections after drug-eluting stenting: the good, the bad, and the ugly [J].

Alfonso, F .

EUROPEAN HEART JOURNAL, 2006, 27 (05) :503-505

[2] CORONARY STENTING FOR ACUTE CORONARY DISSECTION AFTER CORONARY ANGIOPLASTY - IMPLICATIONS OF RESIDUAL DISSECTION [J].

ALFONSO, F ;

HERNANDEZ, R ;

GOICOLEA, J ;

SEGOVIA, J ;

PEREZVIZCAYNO, MJ ;

BANUELOS, C ;

SILVA, JC ;

ZARCO, P ;

MACAYA, C .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 24 (04) :989-995

[3] Nonocclusive coronary dissections: To stent or not to stent? [J].

Alfonso, F .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (01) :303-304

[4] Findings of intravascular ultrasound during acute stent thrombosis [J].

Alfonso, F ;

Suárez, A ;

Angiolillo, DJ ;

Sabaté, M ;

Escaned, J ;

Moreno, R ;

Hernández, R ;

Bañuelos, C ;

Macaya, C .

HEART, 2004, 90 (12) :1455-1459

[5]

Alfonso F, 2009, EUROINTERVENTION, V5, P401

[6] Spontaneous coronary artery dissection: diagnosis by optical coherence tomography [J].

Alfonso, Fernando ;

Canales, Eric ;

Aleong, Godfrey .

EUROPEAN HEART JOURNAL, 2009, 30 (03) :385-385

[7] Current and future developments in intracoronary optical coherence tomography imaging [J].

Barlis, Peter ;

Schmitt, Joseph M. .

EUROINTERVENTION, 2009, 4 (04) :529-533

[8] Incidence, predictors, and outcomes of coronary dissections left untreated after drug-eluting stent implantation [J].

Biondi-Zoccai, GGL ;

Agostoni, P ;

Sangiorgi, GM ;

Airoldi, F ;

Cosgrave, J ;

Chieffo, A ;

Barbagallo, R ;

Tamburino, C ;

Vittori, G ;

Falchetti, E ;

Margheri, M ;

Briguori, C ;

Remigi, E ;

Iakovou, I ;

Colombo, A .

EUROPEAN HEART JOURNAL, 2006, 27 (05) :540-546

[9] Long-term outcomes of minor dissection at the edge of stents detected with intravascular ultrasound [J].

Hong, MK ;

Park, SW ;

Lee, NH ;

Nah, DY ;

Lee, CW ;

Kang, DH ;

Song, JK ;

Kim, JJ ;

Park, SJ .

AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (07) :791-+

[10] In vivo characterization of coronary atherosclerotic plaque by use of optical coherence tomography [J].

Jang, IK ;

Tearney, GJ ;

MacNeill, B ;

Takano, M ;

Moselewski, F ;

Iftima, N ;

Shishkov, M ;

Houser, S ;

Aretz, HT ;

Halpern, EF ;

Bouma, BE .

CIRCULATION, 2005, 111 (12) :1551-1555

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