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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8710640PMC
http://dx.doi.org/10.1253/circrep.CR-21-0127DOI Listing

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Article Synopsis
  • A 32-year-old man with a history of T-cell lymphoma and heart failure experienced cardiac arrest and was diagnosed with a non-ST elevated myocardial infarction.
  • Veno-arterial extracorporeal membrane oxygenation was started, and coronary angiography revealed occlusion in the proximal left anterior descending artery (LAD) and challenges in guidewire advancement.
  • Using intravascular ultrasonography (IVUS) and a real-time 3D wiring technique, the team successfully navigated through a torn plaque, ultimately revascularizing the LAD, leading to the patient’s recovery and discharge 39 days later.
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Recanalized thrombus is an under diagnosed clinical entity. Aim was to investigate the utility of optical coherence tomography (OCT) in identifying spontaneously recanalized thrombi (SRCT) for management in clinical practice. This was a retrospective study analyzing 2678 coronary angiograms over a 4-year period which included intravascular imaging guidance in 75.

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Eosinophilic solid and cystic renal cell carcinoma: a review of literature focused on radiological findings and differential diagnosis.

Abdom Radiol (NY)

January 2023

Department of Pathology, The First College of Clinical Medical Science of China, Three Gorges University and Yichang Central People's Hospital, No. 183, Yiling Avenue, Yichang, 443000, China.

Eosinophilic solid and cystic renal cell carcinoma (ESC-RCC) is a rare type of renal cell carcinoma with inert biological behavior that has not yet been included in the 2016 World Health Organization (WHO) classification, and its imaging manifestations are unclear due to its rarity. Although there have only been a few cases, the CT and MRI findings of ESC-RCC are characterized by its cystic solid structure, according to the proportion of cystic and solid components observed on images, ESC-RCC can be categorized into three types. Especially the Type I, when the cystic-solid components are almost equal, the imaging findings are illustrated as "lotus root-like," which may be helpful in the differential diagnosis of ESC-RCC from other types of renal tumors.

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A lotus root-like appearance of the coronary artery diagnosed by optical coherence tomography (OCT) is characterized by old coronary thrombi that form small lumen channels. Herein, serial OCT images of a left anterior descending artery with a lotus root-like appearance, treated with drug-coated balloon angioplasty are described.

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