The Best Strategy for the Black Hole Phenomenon between Intravascular Ultrasound and Optical Coherence Tomography

Cheng-Cheng KanWei-Che TsaiCheng-Chung ChengGwo-Ping Jong2026-02-042026-02-042024-01-2710.3390/diagnostics14030281https://scholars.csmu.edu.tw/handle/123456789/4924The black hole (BH) phenomenon is an intraluminal restenotic lesion. It was identified by intravascular ultrasound (IVUS) and optical coherence tomography (OCT) after intracoronary brachytherapy and drug-eluting stent implantation. Despite the similarity in the mode of action of brachytherapy and drug-eluting stent implantation, the BH phenomenon appears to be uncommon after drug-eluting stent implantation. Specifically, the BH phenomenon is better identified by OCT than by IVUS. Herein, we present a case of in-stent restenosis with suspected BH phenomenon on IVUS and confirmed by OCT.The Best Strategy for the Black Hole Phenomenon between Intravascular Ultrasound and Optical Coherence Tomographyjournal-article