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Erschienen in:
01.12.2014 | Images in CV Applications
OCT follow up of segmentally crushed stents in reopened coronary artery
Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 8/2014
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62 year old male patient had PCI by two DES implantation in October, 2012 (2.25/18 and 2.25/12 mm Resolute Integrity) because of subtotal occlusion on the medial part of the LAD distally to a very well developed diagonal branch. After one month he had a readmission with the symptoms of stent thrombosis (Fig. 1, left panel). During recanalization of the occluded stent by balloon angioplasty TIMI 3 flow was achieved, but slight haziness at the site of the stents raised the suspicion that the dilatation was performed partially outside the stent (Fig. 1, right upper panel).
Fig. 1
Left Coronary angiogram at admission because of the stent thrombosis (arrow). Right upper panel After recanalization by balloon angioplasty the stented segment exhibited some haziness (arrow). Right lower panel Follow up angiography at 2 month: the blue line indicates the pull back of the OCT lens
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