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Abstract

Citation: Ann Clin Case Rep. 2026;11(1):2840.DOI: 10.25107/2474-1655.2840

The Accordion Effect in Optical Coherence Tomography: Distinguishing Artifact from Pathology

Anish Adhikari, Caleb Wutawunashe, Arber Kodra and Tak Kwan

Department of Interventional Cardiology, Lenox Hill Hospital, Northwell Health, New York, United States

*Correspondance to: Tak Kwan 

 PDF  Full Text Case Report | Open Access

Abstract:

71-year-old female presented with chest pain. Coronary angiogram demonstrated a 70% stenosis in the proximal RCA. After wiring the RCA with a run through NS extra floppy wire (Terumo) additional lesions were noted. Optical Coherence Tomography (OCT) demonstrated multiple artifacts that mimicked lesions. These lesions improved angiographically and on OCT after exchanging for the Suoh 03 wire (Asahi), a softer wire. This case highlights potential pitfalls in OCT interpretation and strategies to mitigate this.

Keywords:

Pathology; Optical coherence tomography; Intravascular imaging

Cite the Article:

Adhikari A, Wutawunashe C, Kodra A, Kwan T. The Accordion Effect in Optical Coherence Tomography: Distinguishing Artifact from Pathology. Ann Clin Case Rep. 2026; 11: 2840..

Journal Basic Info

  • Impact Factor: 5.253*
  • H-Index: 6
  • ISSN: 2474-1655
  • DOI: 10.25107/2474-1655
  • PubMed NLM ID: 101702800

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