Angiographic Haziness Usefulness of OCT in Ambiguous Lesion Angiographic Haziness Angiographic HazinessAngiographic Haziness SooJin Kang MDPhD University of Ulsan College of Medicine AsanMedical ID: 288222
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Usefulness of OCT in Ambiguous Lesion Angiographic Haziness Usefulness of OCT in Ambiguous Lesion Angiographic Haziness Angiographic HazinessAngiographic Haziness Soo-Jin Kang, MD.,PhD. University of Ulsan College of Medicine AsanMedicalCenterSeoulKorea Asan , DisclosureDisclosure DisclosureDisclosure Ihavenothingtodisclose I Thrombus in LM 48years/MaleUA 48 Calcification Plaque rupture B Plaque rupture Angiographic haziness dtliif d oes no t a ways s i gn a freshthrombus Angiographic Haziness OCTin34patientswithangiographicfillingdefect(85%ACS) OCT 1.7 (1.3 2.8)1.3 (0.9 2.1) Pl 21(62%) 19(56%) Pl aque rupture 21 Thrombi27 32 94% Red 8 (24%) White7(20%) White 7 Mixed 17 (50%) Afli180 9(27%) 6(18%) A rc o f ca l c i �um 180 9 6 Plaquetype Attenuated plaque TCFA17(50%) Plaque 27 (79%) TCFA 55 Year-Old Female Chief complaint Chest pain Presentillness Present Previously healthy 2MASevererestingchestpainfor30min 2MA Echo -Akinesia of LAD territory, EF=50% Risk factorsNonePast Medical Histor y y No history of PCI or chest trauma NOBORI 3.5 x 18mm NOBORI35x28mm NOBORI 5 x NOBORI 3.0 x 28mm CASE 2F/63 -inversion II, III, aVF ** * M/72 UA, Thallium positive in inferior wall * * M/55 SA, Thallium positive in LAD territory CASE 5 M/73 SA, s/p DES implantation 4 years ago *** * TIMI 1 flow diagnosis, OCT clearly demonstratesthe unique features in vivo, as Swiss cheese-like appearance