Optical Coherence Tomography (OCT) is an imaging modality that produces high-resolution intracoronary images. We used it to see intraluminal thrombi, coronary intima, atherosclerotic plaque morphology, and stent strut coverage.
A 59-year-old woman with a recent diagnosis of granulomatosis with polyangiitis (GPA; previously Wegener’s granulomatosis) presented with fever and chest pain. An electrocardiogram showed ST segment elevation in the anterior leads. Emergent coronary angiography demonstrated total occlusion (Figure 1A) of the mid-left anterior descending artery …