Role of integrated intracoronary imaging to identify surgical clip as a trigger for ACS-NSTE
- An 80-year-old post–coronary artery bypass graft (CABG) patient had an acute coronary syndrome with non–ST-segment elevation myocardial infarction (ACS-NSTE) with saphenous vein graft (SVG)–obtuse marginal stenosis. High-definition intravascular ultrasound revealed an underexpanded SVG stent with a hyperechoic structure. Optical coherence tomography confirmed surgical clip causing compression, resolved by post-dilation. This case underscores ACS-NSTE complexity post-CABG and the critical role of coronary imaging in optimizing interventions by addressing surgical clip–induced compression.
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| Author: | Giuseppe PanuccioORCiD, Salvatore De RosaORCiD, Ulf LandmesserORCiDGND, David M. LeistnerORCiDGND, Youssef S. AbdelwahedORCiDGND |
|---|---|
| URN: | urn:nbn:de:hebis:30:3-827914 |
| DOI: | https://doi.org/10.1016/j.jaccas.2023.102152 |
| ISSN: | 2666-0849 |
| Parent Title (English): | JACC: Case Reports |
| Publisher: | Elsevier |
| Place of publication: | Amsterdam |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2023/11/30 |
| Date of first Publication: | 2023/11/30 |
| Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
| Release Date: | 2024/03/25 |
| Tag: | IVUS; OCT; acute coronary syndromes; complex coronary interventions; coronary imaging; precision medicine |
| Volume: | 29.2024 |
| Issue: | 1, art. 102152 |
| Article Number: | 102152 |
| Page Number: | 4 |
| Institutes: | Medizin |
| Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
| Sammlungen: | Universitätspublikationen |
| Licence (German): |  Creative Commons - Namensnennung-Nicht kommerziell - Keine Bearbeitung 4.0 |
