Images in Intensive Medicine
Intracoronary thrombus in a patient with recurrent vasospasm: Findings of optical coherence tomography
Trombo intracoronario en paciente con vasoespasmo recurrente: hallazgos de la tomografía de coherencia óptica
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Bastante, A. García-Cabello, F. Alfonso" "autores" => array:3 [ 0 => array:3 [ "nombre" => "T." "apellidos" => "Bastante" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "García-Cabello" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "F." "apellidos" => "Alfonso" "email" => array:1 [ 0 => "falf@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cardiología, Hospital Universitario de La Princesa, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cardiología, Hospital Universitario del Henares, Coslada, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Trombo intracoronario en paciente con vasoespasmo recurrente: hallazgos de la tomografía de coherencia óptica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 559 "Ancho" => 2000 "Tamanyo" => 307277 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 45-year-old male with non-ST segment elevation coronary syndrome. Coronariography showed mild stenosis with smooth margins in the proximal anterior descending artery (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, arrow). Vasospasm testing proved clinically, electrically and angiographically positive (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B: absence of flow–arrows). Optical coherence tomography (OCT) in turn revealed an underlying atheroma plaque of fibrolipidic characteristics, with no evidence of rupture (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). A curious thin laminar thrombus of platelet characteristics was identified, lining the endothelium (arrows). Vasospasm proved recurrent, leading to invasive re-evaluation; the OCT study one month later showed the laminar thrombus in the spastic zone to have become incorporated into the wall, forming a continuum with the arterial intimal layer (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D; * guide artifact).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Bastante T, García-Cabello A, Alfonso F. Trombo intracoronario en paciente con vasoespasmo recurrente: hallazgos de la tomografía de coherencia óptica. Med Intensiva. 2017;41:508.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 559 "Ancho" => 2000 "Tamanyo" => 307277 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004100000008/v1_201710301314/S2173572717301236/v1_201710301314/en/main.assets" "Apartado" => array:4 [ "identificador" => "66582" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004100000008/v1_201710301314/S2173572717301236/v1_201710301314/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572717301236?idApp=WMIE" ]
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