Quiz 11

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. 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 white arrow in the OCT Display Screen beside it. The distal reference area on cross section appears to have healthy tissue without plaque. 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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