Optical coherence tomography evaluating unstable coronary plaques: A case report

Jinchuan Yan, Cuiping Wang, Wei Yuan


Unstable plaque is the main cause of ACS. However, it is difficult to find in some cases. We report a case in which conventional angiography and IVUS were unable to identify the ruptured plaque that caused the condition in a 72-year-old man. He has been suffered from accelerated angina at rest. Angiography and IVUS did not find culprit lesion. However, a ruptured thin-cap fibroatheroma plaque was found in right coronary using OCT. The symptom was disappeared after one stent coving the lesion. The case indicates that OCT is a new intravascular imaging modality that allows clear visualization of vulnerable plaques.

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DOI: https://doi.org/10.5430/crim.v2n1p77


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Case Reports in Internal Medicine

ISSN 2332-7243(Print)  ISSN 2332-7251(Online)

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