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.
Author: | Giuseppe PanuccioORCiD, Salvatore De RosaORCiD, Ulf LandmesserORCiDGND, David M. LeistnerORCiDGND, Youssef S. AbdelwahedORCiDGND |
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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 |
HeBIS-PPN: | 519220501 |
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 |