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Updated: Aug 15, 2025

Optical Coherence Tomography Based Biomechanical Fluid-Structure Interaction Analysis of Coronary Atherosclerosis Progression
Published on: January 15, 2022
How Coronary Perforation Looks at Optical Coherence Tomography Imaging
Giulia Gagno, Enrico Fabris1, Giancarlo Vitrella
1Cardiothoracovascular Department, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI), University of Trieste, Italy, Via Valdoni 7, 34128 Trieste, Italy. enrico.fabris@hotmail.it.
Abstract:
In this case, review of OCT images after successful closure of a coronary perforation (CP) showed that the initial CP was visible as an abrupt interruption of the intimal tissue and the presence of a crater with blood reaching the external layers of vessel wall. CP was probably caused by overstretch of the vessel wall in an intramural segment of the left anterior descending coronary artery. CP is a possible complication of PTCA that is rarely documented with intracoronary imaging due to its rapid and dramatic evolution. We report the unique images of how an initial CP appears at OCT.
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