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Harb S, Mantawy S, Zirlik A, Toth G
OCT-Corner: Hematoma? Fenestrate it! Dissection? Shred it!
Journal für Kardiologie - Austrian Journal of Cardiology 2025; 32 (11-12): 269-271

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Abb. 1: Balloon Abb. 2: Angiography Aktuelles Bild - Abb. 3: OCT Abb. 4: Result Abb. 5: Ballon
Abbildung 3: OCT
OCT run after NC dilatation: (a) Significant deep medial dissection starting < 5 mm from distal stent edge with apparent inlet. In L-Mode flap appears long and significantly protruding with risk of lumen occlusion (* = wire artifact). (b) Intramural hematoma (separation of IEL and EEL) from 12 to 3 o’clock and lipidic plaque from 6 to 9 o’clock and significant luminal narrowing. (c) Hematoma is partially evacuated after NC-ballooning.
 
OCT
Vorheriges Bild Nächstes Bild   


Abbildung 3: OCT
OCT run after NC dilatation: (a) Significant deep medial dissection starting < 5 mm from distal stent edge with apparent inlet. In L-Mode flap appears long and significantly protruding with risk of lumen occlusion (* = wire artifact). (b) Intramural hematoma (separation of IEL and EEL) from 12 to 3 o’clock and lipidic plaque from 6 to 9 o’clock and significant luminal narrowing. (c) Hematoma is partially evacuated after NC-ballooning.
 
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