Optical coherence tomography is an intravascular imaging tool that has been increasingly used in the cardiac catheterization laboratory. Since its spatial resolution is approximately ten-fold greater than intracoronary ultrasound, optical coherence tomography assists in the anatomical differential diagnosis of coronary lesions with atypical presentation. In this report, we present a case of a female patient with a history of acute coronary syndrome and, currently, with a complex angiographic lesion, with the aspect of a chronic dissection in the anterior descending artery. Optical coherence tomography was the intravascular imaging method used, and the richness of detail of its images aided in the discussion of etiology of the lesion and its differential diagnoses.
Eccentric lesion with false lumen and multiple microchannels: diagnosis of chronic recanalized coronary thrombus using optical coherence tomography
Melo,Eduardo França Pessoa de and Santos,Carlos Eduardo Gordilho and Brito,Leonardo Viana de and Neto,José Breno de Sousa and Cintra,Renata Ávila and Filho,José Breno de Sousa. Eccentric lesion with false lumen and multiple microchannels: diagnosis of chronic recanalized coronary thrombus using optical coherence tomography. J Transcat Intervent [online]. 2018, vol.26, 1-2, [cited 2025-03-08], Available from: <https://jotci.org/article/eccentric-lesion-with-false-lumen-and-multiple-microchannels-diagnosis-of-chronic-recanalized-coronary-thrombus-using-optical-coherence-tomography/>. ISSN . https://doi.org/10.31160/JOTCI2018;26(1)A0022.
Melo,Eduardo França Pessoa de; Santos,Carlos Eduardo Gordilho; Brito,Leonardo Viana de; Neto,José Breno de Sousa; Cintra,Renata Ávila; Filho,José Breno de Sousa. Eccentric lesion with false lumen and multiple microchannels: diagnosis of chronic recanalized coronary thrombus using optical coherence tomography. J Transcat Intervent, v.26, 1-2, Nov. 2018. Available from: <https://jotci.org/article/eccentric-lesion-with-false-lumen-and-multiple-microchannels-diagnosis-of-chronic-recanalized-coronary-thrombus-using-optical-coherence-tomography/>. acess on 08 Mar. 2025. https://doi.org/10.31160/JOTCI2018;26(1)A0022.
Melo,Eduardo França Pessoa de, & Santos,Carlos Eduardo Gordilho, & Brito,Leonardo Viana de, & Neto,José Breno de Sousa, & Cintra,Renata Ávila, & Filho,José Breno de Sousa. (2018). Eccentric lesion with false lumen and multiple microchannels: diagnosis of chronic recanalized coronary thrombus using optical coherence tomography. J Transcat Intervent, 26(1-2) , https://doi.org/10.31160/JOTCI2018;26(1)A0022.
MeloEduardo França Pessoa de, SantosCarlos Eduardo Gordilho, BritoLeonardo Viana de, NetoJosé Breno de Sousa, CintraRenata Ávila, FilhoJosé Breno de Sousa. Eccentric lesion with false lumen and multiple microchannels: diagnosis of chronic recanalized coronary thrombus using optical coherence tomography. J Transcat Intervent [Internet]. 2018 Nov [cited 2025 Mar 08]; 26(1-2): Available from: https://jotci.org/article/eccentric-lesion-with-false-lumen-and-multiple-microchannels-diagnosis-of-chronic-recanalized-coronary-thrombus-using-optical-coherence-tomography/. https://doi.org/10.31160/JOTCI2018;26(1)A0022.
Figura 4
Tomografia de coerência óptica de controle pós-implante de stent demonstrando adequada aposição das hastes e rechaçamento da falsa luz.
