When reflected light gives you a diagnosis

Image in interventional cardiovascular medicine: what is displayed on this image? ... And do not hesitate to comment on how you would treat this case!

A 79-year-old male patient with a history of PCI on proximal LAD with a 3.5 x 16 mm Promus in 2014 presents with NSTEMI. Angiogram was non-conclusive for the culprit lesion. OCT of all the vessels provided the diagnosis.

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When reflected light gives you a diagnosis

When reflected light gives you a diagnosis

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Authors

Camilleri William1, Mahmoud Karim1

  1. Erasmus MC, Rotterdam, NETHERLANDS

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3 comments

  • Keisuke Yasumura 21 May 2025

    Stent struts are not clearly visible on this cross-section, maybe one at 7 o'clock. Red thrombus is not clearly visible.

  • Harmeet Singh 22 May 2025

    Stent strut are not clear visible

  • Dejan Orlic 23 May 2025

    The struts are poorly but typically visible due to lipid composition of the neoatherosclerotic plaque.