
Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Minimally Invasive Surgery
- General Surgery
- Thoracic Surgery
- Orthopaedic Surgery
- Robotic Surgery
- Endocrine Surgery
- Emergency Surgery
- Urology
Abstract
Citation: Clin Surg. 2019;4(1):2458.Case Report | Open Access
When Coronary Angiography Does Not Give You the Answer, Look More in Detail
Alessandra Laricchia, Mario Gramegna, Satoru Mitomo, Daisuke Hachinohe, Massimo Slavich, Anna Palmisano, Antonio Esposito, Antonio Colombo and Francesco Giannini
Department of Interventional Cardiology Unit, Maria Cecilia Hospital, Italy
Department of Cardiology, IRCCS San Raffaele Scientific Institute, Italy
Department of Radiology, IRCCS San Raffaele Scientific Institute, Italy
*Correspondance to: Francesco Giannini
PDF Full Text DOI: 10.25107/2474-1647.2458
Abstract
Integrating multiple imaging modalities: A 50-year-old male presenting with refractory cardiac arrest was treated by Extracorporeal Membrane Oxygenation (ECMO) and underwent Coronary Angiography (CAG) that excluded significant coronary disease. However, supported by a Cardiac Magnetic Resonance (CMR) showing findings compatible with an acute ischemic event on the anterior wall, CAG was repeated together with Optical Coherence Tomography (OCT) imaging: it showed a critical lesion with mural thrombus in the mid Left Anterior Descending (LAD) that was successfully treated with implantation of a drug-eluting stent. Intracoronary imaging is a very important tool to analyze plaque morphology when CAG alone is not sufficient. Moreover this case demonstrates the possible value of intravascular imaging to aid in decision making in patients presenting following cardiac arrest.
Keywords
Cite the article
Laricchia A, Gramegna M, Mitomo S, Hachinohe D, Slavich M, Palmisano A, et al. When Coronary Angiography Does Not Give You the Answer, Look More in Detail. Clin Surg. 2019; 4: 2458.