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Crop Circles in Optical Coherence Tomography
Giuseppe Femia1, David Taylor, Rohan Rajaratnam
1Department of Cardiology, Liverpool Hospital, Elizabeth & Goulburn St, Liverpool NSW 2170, Australia. femia82@gmail.com.
Insights
Acute stent thrombosis occurred in a patient with idiopathic thrombocytopenia after coronary intervention. Optical coherence tomography revealed unusual "crop circle" findings, suggesting a potential diagnostic challenge.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Imaging
Background:
- A 57-year-old female with idiopathic thrombocytopenia experienced myocardial infarction.
- Percutaneous coronary intervention was performed for right coronary artery stenosis.
Observation:
- Acute stent thrombosis was diagnosed via angiography.
- Optical coherence tomography (OCT) was utilized for in-stent evaluation.
- Catheter advancement was impeded within the stented segment.
Findings:
- Unusual "crop circle"-like artifacts were observed on OCT imaging.
- These artifacts extended proximally over several frames.
- The findings suggest a potential imaging artifact or an unusual intraluminal phenomenon.
Implications:
- The "crop circle" findings may represent a novel OCT artifact or pathology.
- Further investigation is needed to understand the etiology and clinical significance.
- This case highlights potential challenges in OCT interpretation post-intervention.
Abstract:
A 57-year-old woman with a history of idiopathic thrombocytopenia presented with chest pain and inferior ST-segment elevation myocardial infarction following percutaneous coronary intervention to a distal right coronary artery stenosis. A right femoral artery angiogram showed an acute stent thrombosis. After blood flow was restored with intracoronary thrombectomy and balloon angioplasty, optical coherence tomography was performed using DragonFly Optis (Abbott Vascular). Unfortunately, it was difficult to advance the catheter beyond the stented segment. On review of the image, there were 2 circular figures resembling "crop circles" extending proximally for several frames.
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