Key result
OCT reveals multiple spontaneous plaque erosions and ruptured plaque causing 2-vessel occlusion in ACS.
Why the study?
There is limited evidence using optical coherence tomography to illustrate multiple culprit and remote plaque ruptures and erosions in acute coronary syndrome.
Case Report (n=1)
No
This case demonstrates the feasibility of using OCT to visualize and detect multiple nonculprit plaque ruptures and erosions remote from the site of vessel occlusion in acute coronary syndrome.
OCT may reveal multivessel plaque instability in ACS; single case leaves open any impact on management or outcomes.
BACKGROUND: Multiple plaque ruptures and erosions, both culprit and remote, have been described and illustrated in the context of acute coronary syndrome. However, there is limited evidence for this phenomenon using optical coherence tomography, the highest resolution intracoronary imaging technology. CASE SUMMARY: In this report, the authors describe by optical coherence tomography, multiple spontaneous plaque erosions and a ruptured plaque, de novo and in-stent, resulting in 2-vessel occlusion in a patient with acute coronary syndrome. DISCUSSION: This case confirms, by means of optical coherence tomography, previous reports of multiple nonculprit plaque erosions and rupture in acute coronary syndrome.
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Ahmed et al. (2025) conducted a case report in Acute Coronary Syndrome (n=1). Optical Coherence Tomography was evaluated on Detection of multiple plaque erosions and rupture. Optical coherence tomography identified multiple spontaneous plaque erosions and a ruptured plaque resulting in 2-vessel occlusion in a patient with acute coronary syndrome.
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