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How Coronary Perforation Looks via OCT

Giulia Gagno, MD;  Enrico Fabris, MD, PhD; Giancarlo Vitrella, MD;  Gianfranco Sinagra, MD

01/01/2023

Video supplement to “How Coronary Perforation Looks at Optical Coherence Tomography Imaging,” by Gagno, et al. (January 2023 Clinical Images).

In this case, review of OCT images after successful closure of a coronary perforation (CP) showed that the initial CP was visible as an abrupt interruption of the intimal tissue and the presence of a crater with blood reaching the external layers of vessel wall. CP was probably caused by overstretch of the vessel wall in an intramural segment of the left anterior descending coronary artery. CP is a possible complication of PTCA that is rarely documented with intracoronary imaging due to its rapid and dramatic evolution. We report the unique images of how an initial CP appears at OCT.

Read the article HERE


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