Abstract
Background. A 63-year-old man presented with class II anginal symptoms.
Investigations. Cardiac catheterization, intravascular ultrasound (IVUS) virtual histology, optical coherence tomography and off-line palpography.
Diagnosis. The patient was diagnosed as having a culprit lesion in the left circumflex artery and a vulnerable plaque in the left anterior descending artery.
Management. The culprit lesion was treated with two overlapping drug-eluting stents. The vulnerable plaque was then treated with a self-expanding stent tailored to shield vulnerable plaques (vProtect® Luminal Shield). After dilatation of the stent with a low-pressure balloon, IVUS and optical coherence tomography showed excellent apposition of the stent to the vessel wall, with no signs of tissue prolapse or edge dissections. At the 6-month follow-up appointment, the stent showed complete tissue coverage without signs of in-stent restenosis.
Conclusions. Six months of follow-up has demonstrated that a patient with an IVUS-derived, thin capped fibroatheroma was successfully treated with a stent tailored to shield vulnerable plaques.
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Ramcharitar, S., Gonzalo, N., van Geuns, R. et al. First case of stenting of a vulnerable plaque in the SECRITT I trial—the dawn of a new era?. Nat Rev Cardiol 6, 374–378 (2009). https://doi.org/10.1038/nrcardio.2009.34
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DOI: https://doi.org/10.1038/nrcardio.2009.34
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