{"title":"光学相干断层扫描引导下诊断和处理自发再通冠状动脉血栓的方法","authors":"Mohamed El Minaoui, Wafa Id El Mouden","doi":"10.1016/j.radcr.2024.09.128","DOIUrl":null,"url":null,"abstract":"<div><div>Recanalized coronary thrombus is a rare and under-recognized condition in interventional practice, however its incidence is steadily increasing with the use of endo-coronary imaging. It has been initially described by pathological studies in approximately one-third of chronic coronary occlusions. It is described as a chronic occlusion that constitutes several endothelium-covered channels separated by septa that converge into a single lumen. In angiographic studies, it is often misidentified as fresh thrombus, spontaneous coronary artery dissection or severe calcification. Hence the interest of intracoronary imaging, particularly optical coherence tomography, to conclusively establish its diagnosis and identify the related mechanism in order to guide the optimal therapeutic strategy.</div><div>In this report, we describe our experience with a case of recanalized thrombus diagnosed using intracoronary optical coherence tomography imaging with successful percutaneous coronary intervention.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Optical coherence tomography-guided approach in diagnosing and managing spontaneously recanalized coronary thrombus\",\"authors\":\"Mohamed El Minaoui, Wafa Id El Mouden\",\"doi\":\"10.1016/j.radcr.2024.09.128\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Recanalized coronary thrombus is a rare and under-recognized condition in interventional practice, however its incidence is steadily increasing with the use of endo-coronary imaging. It has been initially described by pathological studies in approximately one-third of chronic coronary occlusions. It is described as a chronic occlusion that constitutes several endothelium-covered channels separated by septa that converge into a single lumen. In angiographic studies, it is often misidentified as fresh thrombus, spontaneous coronary artery dissection or severe calcification. Hence the interest of intracoronary imaging, particularly optical coherence tomography, to conclusively establish its diagnosis and identify the related mechanism in order to guide the optimal therapeutic strategy.</div><div>In this report, we describe our experience with a case of recanalized thrombus diagnosed using intracoronary optical coherence tomography imaging with successful percutaneous coronary intervention.</div></div>\",\"PeriodicalId\":53472,\"journal\":{\"name\":\"Radiology Case Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Radiology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1930043324010707\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1930043324010707","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Optical coherence tomography-guided approach in diagnosing and managing spontaneously recanalized coronary thrombus
Recanalized coronary thrombus is a rare and under-recognized condition in interventional practice, however its incidence is steadily increasing with the use of endo-coronary imaging. It has been initially described by pathological studies in approximately one-third of chronic coronary occlusions. It is described as a chronic occlusion that constitutes several endothelium-covered channels separated by septa that converge into a single lumen. In angiographic studies, it is often misidentified as fresh thrombus, spontaneous coronary artery dissection or severe calcification. Hence the interest of intracoronary imaging, particularly optical coherence tomography, to conclusively establish its diagnosis and identify the related mechanism in order to guide the optimal therapeutic strategy.
In this report, we describe our experience with a case of recanalized thrombus diagnosed using intracoronary optical coherence tomography imaging with successful percutaneous coronary intervention.
期刊介绍:
The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.