EuroPCR2026-images-92828-Honeycomb-channels-LAD-finds-way

Which diagnosis best explains the angiographic appearance of the LAD?
Spontaneous coronary artery dissection with multiple lumens due to media dissection
Recanalised thrombus due to an acute thrombotic or incomplete occlusion of the LAD
Intraluminal calcified plaque with shadowing
Correct! The correct answer is "Spontaneous coronary artery dissection with multiple lumens due to media dissection".
 
OCT shows a preserved intima and multiple signal-rich septa forming a honeycomb pattern, typical of a recanalised thrombus following prior occlusion.

 
Good try! The correct answer is "Spontaneous coronary artery dissection with multiple lumens due to media dissection".
 
OCT shows a preserved intima and multiple signal-rich septa forming a honeycomb pattern, typical of a recanalised thrombus following prior occlusion.
 
 
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