TY - JOUR A1 - Panuccio, Giuseppe A1 - De Rosa, Salvatore A1 - Landmesser, Ulf A1 - Leistner, David M. A1 - Abdelwahed, Youssef S. T1 - Role of integrated intracoronary imaging to identify surgical clip as a trigger for ACS-NSTE T2 - JACC: Case Reports N2 - 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. KW - acute coronary syndromes KW - complex coronary interventions KW - coronary imaging KW - IVUS KW - OCT KW - precision medicine Y1 - 2023 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/82791 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-827914 SN - 2666-0849 VL - 29.2024 IS - 1, art. 102152 PB - Elsevier CY - Amsterdam ER -