1. Interpretation of optical coherence tomography images : The Lancet

    Interpretation of optical coherence tomography images : The Lancet

    We read with great interest the Clinical Picture reported by Dennis Wong and colleagues (Feb 8, p e11) 1 who took advantage of the unprecedented resolution of optical coherence tomography (OCT) to identify the culprit lesion and guide coronary stenting in a patient with acute myocardial infarction. Over the last decade, OCT has become the method of choice to investigate the mechanisms responsible for acute coronary syndromes. 2 In this report, 1 the authors describe a ruptured thin-cap fibroatheroma with overlying thrombus as cause of acute coronary syndrome. However, this observation raises some important issues. Plaque rupture is typically detected ...

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