title: Sealing a ruptured non-culprit coronary plaque in a patient with acute myocardial infarction with bioresorbable vascular scaffolds.
abstract: A 49-year-old man was admitted to the emergency department suffering from a large anterior myocardial infarction that was treated by rescue PCI. The patient also had a moderate but complex lesion in the proximal segment of the right coronary artery. Optical coherence tomography showed striking images of a ruptured and ulcerated plaque with significant thrombus content. Although the lumen was not compromised, these unique findings prompted us to treat this non-culprit lesion. We selected a bioresorbable vascular scaffold with the aim of sealing and passivating this complicated and high-risk plaque.
authors.affiliation: Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Cuesta
authors.affiliation: Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Rivero
authors.affiliation: Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Teresa
authors.initials: T
authors.lastname: Bastante
authors.affiliation: Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Amparo
authors.initials: A
authors.lastname: Benedicto
authors.affiliation: Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Diego
authors.affiliation: Hospital Universitario de La Princesa, Madrid, Spain. Electronic address: javicuestacuesta@hotmail.com.
authors.forename: Fernando
authors.initials: F
authors.lastname: Alfonso
mesh_terms: D020341:Absorbable Implants; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D058226:Plaque, Atherosclerotic / Q000000981:diagnostic imaging / Q000601:surgery*; D012422:Rupture, Spontaneous; D054457:Tissue Scaffolds; D041623:Tomography, Optical Coherence
keywords: Bioresorbable vascular scaffolds; Lesão não culpada; Non-culprit lesion; Optical coherence tomography; Suportes vasculares bioabsorbíveis; Tomografia de coerência ótica