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Quiz 10

A 47-year-old female with a history of coronary artery disease status post DES, hypertesion, dyslipidemia, and fibromuscular dysplasia is rushed to the emergency room with crushing chest pain which started one hour prior at rest. Prior to these symptoms the patient was in her usual state of health. EKG shows ST elevations in leads V1-V4. Patient is brought directly to the cath lab for a coronary angiography.

Which of the following findings is visualized in the OCT pullback below?

Which of the following is seen in the OCT pullback below?

Which of the following artifacts are visualized in the OCT pullback below?​

Based on the main vessel OCT pullback below what procedure was done for this patient?​​

What artifact is visualized in the cross sectional OCT image and in the 3D Navigation fly-through OCT provided?​​
A 38-year-old man with a history of coronary artery disease status post DES mid LAD three weeks prior presents with sub-sternal chest pain, progressively worsening over one hour. Given his history and symptoms, the patient is brought directly to the cath lab and undergoes coronary angiography and OCT. What can be concluded based on the angiogram and OCT images below?

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The minimal luminal area (MLA) is provided and labeled with the white arrows on the OCT Display Screen below. The distal reference area of the lumen are provided and labeled with the yellow arrow in the OCT Display Screen left of the MLA. The distal reference area on cross section appears to have healthy tissue with no intra- or extra-luminal abnormality. Which of the following cross sectional OCT images would provide the optimal proximal landing zone for a stent to be placed?​
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