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...

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Veröffentlicht in:	JACC. Case reports 2024-01, Vol.29 (1), p.102152-102152, Article 102152
Hauptverfasser:	Panuccio, Giuseppe, De Rosa, Salvatore, Landmesser, Ulf, Leistner, David M, Abdelwahed, Youssef S
Format:	Artikel
Sprache:	eng
Schlagworte:	acute coronary syndromes complex coronary interventions coronary imaging IVUS OCT precision medicine
Online-Zugang:	Volltext
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Zusammenfassung:	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.
ISSN:	2666-0849 2666-0849
DOI:	10.1016/j.jaccas.2023.102152