Why the study?
Can intravascular ultrasound (IVUS) help diagnose recanalized chronic coronary thrombus presenting as a hazy coronary lesion?
Can intravascular ultrasound (IVUS) help diagnose recanalized chronic coronary thrombus presenting as a hazy coronary lesion?
Intracoronary imaging with IVUS is a valuable tool for diagnosing rare causes of hazy coronary lesions, such as recanalized chronic coronary thrombus.
IVUS may clarify select hazy lesions; leaves open prospective validation before routine adoption.
Hazy lesions in coronary angiography can often be a puzzle for the interventional cardiologist. Recanalized chronic coronary thrombus, although rare, is one of the potential diagnoses. Intracoronary imaging with intravascular ultrasound (IVUS) and optical coherence tomography (OCT) are tools that can guide to the correct diagnosis. We present the images of a case where IVUS was used to unravel such a lesion.
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Karamasis et al. (2016) studied this question.
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