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Updated: May 22, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Thrombotic complication during intracoronary imaging
S A Wiyono1, H M M van Beusekom, J M Ligthart
1Thoraxcenter, Erasmus MC Rotterdam, 's Gravendijkwal 230, 3015 CE, Rotterdam, the Netherlands.
Insights
Intracoronary imaging using intracoronary ultrasound and coherence tomography can lead to rare complications. Careful consideration of these invasive procedures is advised for patient safety.
Area of Science:
- Cardiovascular Imaging
- Interventional Cardiology
Background:
- Intracoronary imaging, including intracoronary ultrasound (ICUS) and optical coherence tomography (OCT), is standard for evaluating coronary stent placement.
- These imaging modalities are crucial for assessing stent deployment and detecting potential issues post-implantation.
Purpose of the Study:
- To report an infrequent complication arising from intracoronary imaging procedures.
- To emphasize the importance of judicious use of invasive intracoronary imaging techniques.
Main Methods:
- Case report detailing an adverse event during or after ICUS/OCT.
- Review of clinical management and outcomes related to the complication.
Main Results:
- An uncommon complication associated with intracoronary ultrasound or coherence tomography was observed.
- The case highlights a specific risk inherent to these diagnostic interventions.
Conclusions:
- Intracoronary imaging, while valuable, carries a risk of rare complications.
- Selective and careful application of these invasive procedures is recommended to minimize patient risk.
Abstract:
Intracoronary imaging with intracoronary ultrasound and coherence tomography is often used in the follow-up of coronary stent implantation. The present case shows an infrequent complication of these procedures, suggesting our continued attention to the selective use of these invasive procedures.
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