Differential Diagnosis, Clinical Characteristics, and Interventions of Braid-Like Coronary Artery: Case Series Analysis Based on Optical Coherence Tomography.

Journal of Interventional Cardiology
Wen-Xiu LengJi-Lin Chen

Abstract

Based on optical coherence tomography (OCT), we aimed to determine the diagnosis, clinical characteristics, and interventions of braid-like coronary arteries, which are rare and tend to be diagnosed as a woven coronary artery (WCA) anomaly. We identified braid-like lesions on coronary angiography (CAG) in 7 patients (6 men; median age 47 years; age range 26 to 57 years). All patients were heavy smokers. Four patients were diagnosed with an old myocardial infarction and the other 3 with unstable angina. The braid-like lesions were located in the left anterior descending arteries in 2 patients and in the right coronary arteries in the other 5. TIMI grade 2 flow was observed in all involved vessels. OCT findings of all lesions were consistent with recanalization of organized thrombi, which consisted of septa that divided the lumen into multiple small cavities communicating with each other. No separate three-layered structure could be defined. Based on the significance of the stenosis and its related symptoms, drug-eluting stents were implanted in all of the lesions. All patients experienced symptomatic improvement after the intervention and were followed up event-free for 12 months. Braid-like coronary arteries are likely to under...Continue Reading

References

Dec 1, 1990·Catheterization and Cardiovascular Diagnosis·A D BermanD S Baim
May 1, 1988·The American Journal of Cardiology·D C Sane, H J Vidaillet
Feb 1, 1995·The American Journal of Cardiology·L GregoriniA Zanchetti
May 1, 1997·The New England Journal of Medicine·A P BurkeR Virmani
Nov 8, 2005·International Journal of Cardiology·Hurkan KursakliogluTurgay Celik
Feb 19, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Periklis A DavlourosDimitrios Alexopoulos
May 25, 2012·Journal of Cardiac Surgery·Korhan SoyluMehmet Güngör Kaya
Jul 14, 2012·JACC. Cardiovascular Imaging·Soo-Jin KangSeung-Jung Park
Jul 25, 2013·Korean Circulation Journal·Aydın AkyuzDursun Cayan Akkoyun
Aug 22, 2013·European Heart Journal·Aitor UribarriFrancisco Fernández-Avilés
Sep 27, 2013·Folia morphologica·S- M Yuan
Dec 3, 2014·JACC. Cardiovascular Interventions·Omar Gómez-MonterrosasManel Sabaté
Apr 2, 2015·International Journal of Cardiology·Yusuke FujinoSunao Nakamura
Nov 12, 2016·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·José-Fernando Val-BernalMiguel Salas-García
Jul 2, 2017·The International Journal of Cardiovascular Imaging·Hiroki NakanoSatoshi Yasuda
Aug 14, 2018·Internal and Emergency Medicine·Xile BiQingsheng Wang

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