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High Inflammation and Coronary Calcification in an Acute Coronary Syndrome Successfully Treated with Cutting Balloon Cover

High Inflammation and Coronary Calcification in an Acute Coronary Syndrome Successfully Treated with Cutting Balloon

Journal of Cardiovascular Emergencies
Volume 10 (2024): Issue 3 (September 2024)
By:
Open Access
|Dec 2023

Figures & Tables

FIGURE 1.

CCTA reconstruction of the LAD (A), LCX (B), and RCA (C). D – area from A; E – area from B; F – area from C. Orange arrows, coronary plaques; red lines, the arterial lumen; yellow lines, noncalcified plaque; blue lines, plaque with both calcified and non-calcified contents; green lines, a highly calcified plaque.
CCTA reconstruction of the LAD (A), LCX (B), and RCA (C). D – area from A; E – area from B; F – area from C. Orange arrows, coronary plaques; red lines, the arterial lumen; yellow lines, noncalcified plaque; blue lines, plaque with both calcified and non-calcified contents; green lines, a highly calcified plaque.

FIGURE 2.

Inflammation analysis. A – FAI score, representing the weighted FAI of the coronary artery with the highest degree of inflammation; B – CaRi-Heart risk, the risk of a fatal cardiac event if left untreated, based on the FAI score values, the coronary atherosclerotic plaque burden, and the clinical risk factors, showing a high risk for cardiac events; C – Inflammation mapping of LAD and RCA, with hues toward blues reprezenting a higher degree of inflammation
Inflammation analysis. A – FAI score, representing the weighted FAI of the coronary artery with the highest degree of inflammation; B – CaRi-Heart risk, the risk of a fatal cardiac event if left untreated, based on the FAI score values, the coronary atherosclerotic plaque burden, and the clinical risk factors, showing a high risk for cardiac events; C – Inflammation mapping of LAD and RCA, with hues toward blues reprezenting a higher degree of inflammation

FIGURE 3.

FAI score percentile placing the patient in the 98th percentile for inflammation adjusted for age and gender
FAI score percentile placing the patient in the 98th percentile for inflammation adjusted for age and gender

FIGURE 4.

Coronary angiography showing severe vascular disease. Red arrows, coronary stenoses on LAD and RCA; yellow lines, sites of stent implantation with minimal residual stenoses
Coronary angiography showing severe vascular disease. Red arrows, coronary stenoses on LAD and RCA; yellow lines, sites of stent implantation with minimal residual stenoses
DOI: https://doi.org/10.2478/jce-2023-0015 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
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Language: English
Page range: 111 - 116
Submitted on: Nov 5, 2023
Accepted on: Nov 25, 2023
Published on: Dec 9, 2023
Published by: Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year
Keywords:
fat attenuation index,
coronary computed tomography angiography,
cutting balloon,
pericoronary inflammation
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Emergency medicine and intensive-care medicine,
Radiology

© 2023 Emanuel Blîndu, Botond-Barna Mátyás, Balázs Bajka, Corneliu-Florin Buicu, Monica Chițu, Imre Benedek, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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