Cardiovascular Intervention and Therapeutics

, Volume 27, Issue 1, pp 47–51 | Cite as

Culprit segments identified by optical coherence tomography in patients with acute myocardial infarction: two case reports

  • Daisuke Sato
  • Seiji Koga
  • Tomohiko Yasunaga
  • Tomoo Nakata
  • Masayoshi Takeno
  • Yuji Koide
  • Satoshi Ikeda
  • Naoto Ashizawa
  • Koji Maemura
Case Report

Abstract

The high resolution of optical coherence tomography (OCT) provides detailed information about coronary plaque morphology, which enables the mechanism of acute myocardial infarction to be evaluated. We describe two patients with acute myocardial infarction in whom culprit segments were identified by OCT, but not by either coronary angiography or intravascular ultrasound.

Keywords

Acute myocardial infarction Optical coherence tomography Plaque rupture Thrombus Ulcer 

References

  1. 1.
    Regar E, van Soest G, Bruining N, Constantinescu AA, van Geuns RJ, van der Giessen W, et al. Optical coherence tomography in patients with acute coronary syndrome. EuroIntervention. 2010;6(Suppl G):G154–60.PubMedGoogle Scholar
  2. 2.
    Prati F, Regar E, Mintz GS, Arbustini E, Di Mario C, Jang IK, et al. Expert review document on methodology, terminology, and clinical applications of optical coherence tomography: physical principles, methodology of image acquisition, and clinical application for assessment of coronary arteries and atherosclerosis. Eur Heart J. 2010;31:401–15.PubMedCrossRefGoogle Scholar
  3. 3.
    Meng L, Lv B, Zhang S, Yv B. In vivo optical coherence tomography of experimental thrombosis in a rabbit carotid model. Heart. 2008;94:777–80.PubMedCrossRefGoogle Scholar
  4. 4.
    Kume T, Akasaka T, Kawamoto T, Ogasawara Y, Watanabe N, Toyota E, et al. Assessment of coronary arterial thrombus by optical coherence tomography. Am J Cardiol. 2006;97:1713–7.PubMedCrossRefGoogle Scholar
  5. 5.
    Kolodgie FD, Gold HK, Burke AP, Fowler DR, Kruth HS, Weber DK, et al. Intraplaque hemorrhage and progression of coronary atheroma. N Engl J Med. 2003;349:2316–25.PubMedCrossRefGoogle Scholar
  6. 6.
    Kitabata H, Tanaka A, Kubo T, Takarada S, Kashiwagi M, Tsujioka H, et al. Relation of microchannel structure identified by optical coherence tomography to plaque vulnerability in patients with coronary artery disease. Am J Cardiol. 2010;105:1673–8.PubMedCrossRefGoogle Scholar

Copyright information

© Japanese Association of Cardiovascular Intervention and Therapeutics 2011

Authors and Affiliations

  • Daisuke Sato
    • 1
  • Seiji Koga
    • 1
  • Tomohiko Yasunaga
    • 1
  • Tomoo Nakata
    • 1
  • Masayoshi Takeno
    • 1
  • Yuji Koide
    • 1
  • Satoshi Ikeda
    • 1
  • Naoto Ashizawa
    • 1
  • Koji Maemura
    • 1
  1. 1.Department of Cardiovascular MedicineNagasaki University HospitalNagasakiJapan

Personalised recommendations