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dc.contributor.author유홍기-
dc.date.accessioned2016-06-08T08:16:29Z-
dc.date.available2016-06-08T08:16:29Z-
dc.date.issued2015-01-
dc.identifier.citationEUROPEAN HEART JOURNAL, v. 36, NO 17, Page. 1022-1022en_US
dc.identifier.issn0195-668X-
dc.identifier.urihttp://hdl.handle.net/20.500.11754/21598-
dc.identifier.urihttps://academic.oup.com/eurheartj/article-lookup/doi/10.1093/eurheartj/ehu498-
dc.description.abstractA 71-year-old woman was admitted to our hospital due to unstable chest pain. Coronary angiography demonstrated a complex eccentric lesion with 80% narrowing of the right coronary arterial lumen (Panel A). Intravascular optical coherence tomography (IV-OCT) revealed typical characteristics of spontaneous coronary artery dissection (SCAD), such as proximal intimo-medial tear (Panel Aa), false lumen (Panel Ab), and intramural hematoma (Panel Ac, asterisk). A zotarolimus-eluting stent (Resolute Integrity, Medtronic, Santa Rosa, CA, USA) was deployed at the lesion. Post-stenting angiography showed completely restored luminal patency (Panel B) and an IV-OCT confirmed the well-covered proximal dissected site (Panel Ba′), obliteration of the false lumen without compromising the side branch (Panel Bb′), and compression of the intramural hematoma (Panel Bc′, asterisk). Three-dimensional (3D) reconstruction of the OCT images allows clear visualization of dissected flap (Panel Ad) and its complete obliteration following stenting (Panel Bd′). A fly through 3D rendered OCT image in a distal to proximal direction which is conventional direction in routine practice, dissected lesion was hardly identified (Panel C, arrow heads: dissection flap, Supplementary material online, Video S1). In contrast, in a proximal to distal direction, intuitive comprehension of spatial structure of the dissected lesion was possible at a glance (Panel D, arrow heads: dissection flap, Supplementary material online, Video S2). This bi-directional assessment of SCAD using a fly through 3D rendered OCT image might be useful for clinicians to evaluate the characteristic of coronary dissection and would provide valuable information for lesion-specific treatment.en_US
dc.language.isoenen_US
dc.publisherOXFORD UNIV PRESSen_US
dc.titleA bi-directional assessment of spontaneous coronary artery dissection by three-dimensional flythrough rendering of optical coherence tomography imagesen_US
dc.typeArticleen_US
dc.relation.no17-
dc.relation.volume36-
dc.identifier.doi10.1093/eurheartj/ehu498-
dc.relation.page1022-1022-
dc.relation.journalEUROPEAN HEART JOURNAL-
dc.contributor.googleauthorKim, Ji Bak-
dc.contributor.googleauthorNam, Hyeong Soo-
dc.contributor.googleauthorYoo, Hongki-
dc.contributor.googleauthorKim, Jin Won-
dc.relation.code2015002200-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF ENGINEERING[S]-
dc.sector.departmentDIVISION OF ELECTRICAL AND BIOENGINEERING-
dc.identifier.pidhyoo-
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COLLEGE OF ENGINEERING[S](공과대학) > ELECTRICAL AND BIOMEDICAL ENGINEERING(전기·생체공학부) > Articles
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