1. Optical Coherence Tomography Findings of Non-ST Elevation Myocardial Infarction with Multivessel Disease

    Optical Coherence Tomography Findings of Non-ST Elevation Myocardial Infarction with Multivessel Disease

    A 48-year-old man with a history of current smoking presented to our department with sudden-onset chest pain at rest. Elevated high sensitivity troponin level led to urgent coronary angiography (CAG). CAG revealed intermediate stenosis with multiple linear filling defects in the mid right coronary artery (RCA) ( Figure 1A ). Cross-sectional ( Figure 1B-1D ) and longitudinal ( Figure 1F ) optical coherence tomography (OCT) demonstrated a honeycomb-like structure with multiple cavities of various size separated by tissue with high-signal intensity ( Supplementary Video 1 ). Three-dimensional OCT also showed multiple cavities communicating with true lumen ( Figure 1E , asterisks) and we concluded that this represented recanalized thrombus. Regarding ...

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