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European Heart Journal 1994 15(7):997-1001;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Intracoronary ultrasound and angioscopic imaging facilitating the understanding and treatment of post-infarction angina

J. ESCANED, P. W. SERRUYS, C. DI MARIO, J. R. T. C. ROELANDT and P. J. DE FEYTER

Catheterisation Laboratory, Thorax center, Erasmus University Rotterdam The Netherlands

Received 11 August 1993; revised 24 January 1994; .

Correspondence Pirn J. de Feyter, MD PhD, Catheterisation Laboratory, Thoraxcenter/Erasmus University, P.O. Box 1738, 3000 Rotterdam, The Netherlands.

Abstract

We report on the use of intravascular ultrasound, coronary angioscopy and on-line quantitative angiography in an unstable patient soon after myocardial infarction. Combined intracoronary imaging made it possible to solve the therapeutic problem posed by an unusual angiographic appearance secondary to intracoronary thrombolysis during coronary recanalization. The pathological validation of the observations performed with angioscopy and intravascular ultrasound was made possible with the concomitant use of directional atherectomy.

Key Words: Post-infarction angina • angioscopy • intravascular ultrasound • thrombolysis • quantitative angiography


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