Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 유홍기 | - |
dc.date.accessioned | 2016-06-08T08:16:29Z | - |
dc.date.available | 2016-06-08T08:16:29Z | - |
dc.date.issued | 2015-01 | - |
dc.identifier.citation | EUROPEAN HEART JOURNAL, v. 36, NO 17, Page. 1022-1022 | en_US |
dc.identifier.issn | 0195-668X | - |
dc.identifier.uri | http://hdl.handle.net/20.500.11754/21598 | - |
dc.identifier.uri | https://academic.oup.com/eurheartj/article-lookup/doi/10.1093/eurheartj/ehu498 | - |
dc.description.abstract | A 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.iso | en | en_US |
dc.publisher | OXFORD UNIV PRESS | en_US |
dc.title | A bi-directional assessment of spontaneous coronary artery dissection by three-dimensional flythrough rendering of optical coherence tomography images | en_US |
dc.type | Article | en_US |
dc.relation.no | 17 | - |
dc.relation.volume | 36 | - |
dc.identifier.doi | 10.1093/eurheartj/ehu498 | - |
dc.relation.page | 1022-1022 | - |
dc.relation.journal | EUROPEAN HEART JOURNAL | - |
dc.contributor.googleauthor | Kim, Ji Bak | - |
dc.contributor.googleauthor | Nam, Hyeong Soo | - |
dc.contributor.googleauthor | Yoo, Hongki | - |
dc.contributor.googleauthor | Kim, Jin Won | - |
dc.relation.code | 2015002200 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF ENGINEERING[S] | - |
dc.sector.department | DIVISION OF ELECTRICAL AND BIOENGINEERING | - |
dc.identifier.pid | hyoo | - |
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