title: Plaque sealing: are the benefits outweighing the risks?
abstract: 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.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Malagutti
authors.forename: Jurgen M R
authors.initials: JM
authors.lastname: Ligthart
authors.forename: Filippo
authors.initials: F
authors.lastname: Cademartiri
authors.forename: Willem B
authors.initials: WB
authors.lastname: Meijboom
authors.forename: Marco
authors.initials: M
authors.lastname: Valgimigli
mesh_terms: D000328:Adult; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012307:Risk Factors; D015607:Stents