Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun;15(6):616-618.
doi: 10.1136/jnis-2022-019195. Epub 2022 Jul 26.

Application of optical coherence tomography in decision-making of post-thrombectomy adjunctive treatments

Di Li #  1 , Tao Tang #  2 , Teng Hu #  3 , Piotr Walczak  4 , Dheeraj Gandhi  4 , Shen Li  5
Affiliations

Application of optical coherence tomography in decision-making of post-thrombectomy adjunctive treatments

Di Li et al. J Neurointerv Surg. 2023 Jun.

Abstract

An adult patient with acute basilar artery occlusion underwent mechanical thrombectomy. After complete reperfusion, a 70% residual stenosis of the proximal basilar artery was observed. Intravascular optical coherence tomography (OCT) identified lipid plaques with an intact fibrous cap and thrombus in the culprit lesion, indicating plaque erosion was the mechanism of in situ thrombosis. Adjunctive antiplatelet therapy rather than rescue interventions was pursued for its beneficial effects in acute coronary syndrome caused by plaque erosion. The patient had a 90-day modified Rankin Scale score of 0. OCT enables precise evaluation of vessel characteristics following thrombectomy, so may improve outcomes through subsequent tailored treatments.

Keywords: Intervention; Plaque; Stenosis; Stroke; Thrombectomy.

PubMed Disclaimer

Conflict of interest statement

Competing interests: SL received research funding support from National Natural Science Foundation of China. SL and TT received research funding support from Central Committee Healthcare Project and Emergency Project of Beijing Shijitan Hospital. PW is secretary of the Society for Image-Guided Neurointerventions (SIGN), and holds equity in Ti-com, LLC and Intra-Art, LLC. DG received research grants from Focused Ultrasound Foundation, INSIGHTEC and MicroVention.

LinkOut - more resources