Plaque sealing: are the benefits outweighing the risks?
A 36-year-old man was admitted with reported short attacks of acute chest pain with small increment of troponin and CK-MB and normal ECG. The 64-slice CT coronary angiography revealed a large non-obstructing non-calcified plaque in the proximal left anterior descending artery with positive vessel remodeling. The conventional coronary angiogram was normal but the intravascular ultrasound confirmed the CT findings. A drug eluting stent was implanted to seal the plaque. During the procedure, myocardial damage had occurred. At 6-month follow-up, 64-slice CT revealed minimal in-stent hyperplasia, which was confirmed at conventional angiography.
Malagutti
Patrizia
P
Ligthart
Jurgen M R
JM
Cademartiri
Filippo
F
Meijboom
Willem B
WB
Valgimigli
Marco
M
D000328:Adult; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012307:Risk Factors; D015607:Stents