PMID- 24122600 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20131021 LR - 20160519 IS - 1868-4300 (Print) IS - 1868-4297 (Linking) VI - 26 IP - 3 DP - 2011 Sep TI - A patient with significant slow-flow phenomenon during percutaneous coronary intervention for ST elevation myocardial infarction associated with scattered necrotic core by virtual histology intravascular ultrasound. PG - 290-5 LID - 10.1007/s12928-011-0073-0 [doi] AB - A 68-year-old man with acute ST elevation myocardial infarction (STEMI) underwent emergent coronary angiography which showed total occlusion in the proximal right coronary artery (RCA). Gray-scale intravascular ultrasound (IVUS) revealed the culprit lesion was expansively remodeled and contained ruptured and echolucent plaques with spotty calcification, whereas thin-capped fibroatheroma and a large amount of scattered necrotic core were observed by virtual histology (VH)-IVUS. After stent implantation in the proximal RCA under a filter protection, filter-no-reflow phenomenon occurred and thrombus-like defect was observed in the mid RCA. Under these conditions, VH-IVUS detected a large amount of scattered necrotic core in the mid RCA. We suggest scattered necrotic core detected by VH-IVUS may be associated with slow-flow phenomenon during percutaneous coronary intervention in our patient with STEMI. FAU - Haraki, Tatsuo AU - Haraki T AD - Department of Cardiology, Takaoka Municipal Hospital, 4-1 Takara-machi, Takaoka, 933-8550, Japan, tatsuo_haraki@municipal-hp-takaoka.jp. FAU - Hirase, Hiroaki AU - Hirase H FAU - Ohta, Munenori AU - Ohta M FAU - Uno, Yoshihide AU - Uno Y FAU - Sakata, Kenji AU - Sakata K FAU - Kawashiri, Masa-Aki AU - Kawashiri MA FAU - Yamagishi, Masakazu AU - Yamagishi M LA - eng PT - Journal Article DEP - 20110707 PL - Japan TA - Cardiovasc Interv Ther JT - Cardiovascular intervention and therapeutics JID - 101522043 EDAT- 2011/09/01 00:00 MHDA- 2011/09/01 00:01 CRDT- 2013/10/15 06:00 PHST- 2010/10/29 00:00 [received] PHST- 2011/05/27 00:00 [accepted] PHST- 2013/10/15 06:00 [entrez] PHST- 2011/09/01 00:00 [pubmed] PHST- 2011/09/01 00:01 [medline] AID - 10.1007/s12928-011-0073-0 [doi] PST - ppublish SO - Cardiovasc Interv Ther. 2011 Sep;26(3):290-5. doi: 10.1007/s12928-011-0073-0. Epub 2011 Jul 7.