Noninvasive diagnosis of vulnerable coronary plaque

Figure 4 Coronary computed tomography characterization of plaque components. Multimodal evaluation of a mid-LAD lesion in bifurcation with a Dx branch. A: CCT multiplanar reconstruction demonstrates a nonsignificant luminal narrowing in the mid LAD (arrow), and when short axis was evaluated the lesion fulfills noncalcified plaque features (arrowhead); B and C: ICA: The same nonobstructive lesion is observed in mid-LAD (arrow), which seems hyperlucent on LAO cranial projection (C); D: OCT confirms the presence of a red intracoronary thrombus (T) in the same location. CCT: Coronary computed tomography; LAD: Left anterior descending artery; Dx: Diagonal branch; ICA: Invasive coronary angiography; OCT: Optical coherence tomography.