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Recanalized chronic coronary thrombus: unraveling a hazy coronary lesion by intravascular ultrasound

Grigoris V Karamasis1, Shayna Chotai1, Azhar A Khokhar1

  • 1Department of Cardiology, Essex Cardiothoracic Centre, Nethermayne, Essex, UK.

Cardiovascular Diagnosis and Therapy
|April 8, 2016
PubMed

Insights

Recanalized chronic coronary thrombus can cause hazy lesions on angiography. Intracoronary imaging, specifically intravascular ultrasound (IVUS), can help diagnose this rare condition.

Area of Science:

  • Cardiovascular medicine
  • Interventional cardiology
  • Medical imaging

Background:

  • Hazy lesions in coronary angiography present diagnostic challenges for interventional cardiologists.
  • Recanalized chronic coronary thrombus is a rare but significant differential diagnosis for such lesions.

Purpose of the Study:

  • To present a case study illustrating the diagnostic utility of intravascular imaging in identifying recanalized chronic coronary thrombus.
  • To highlight the role of intravascular ultrasound (IVUS) in characterizing complex coronary lesions.

Main Methods:

  • Coronary angiography was performed, revealing hazy lesions.
  • Intracoronary imaging with intravascular ultrasound (IVUS) was utilized for detailed lesion assessment.
  • Optical coherence tomography (OCT) may also be considered for complementary imaging.

Main Results:

  • IVUS imaging provided clear visualization of the lesion, enabling differentiation from other causes of hazy coronary arteries.
  • The findings were consistent with recanalized chronic coronary thrombus, confirming the diagnosis.

Conclusions:

  • Intracoronary imaging, particularly IVUS, is invaluable for diagnosing rare causes of coronary lesions like recanalized chronic thrombus.
  • Accurate diagnosis using advanced imaging techniques improves patient management in interventional cardiology.

Keywords:
Intravascular ultrasound (IVUS)recanalized thrombus

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