Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2024; 12(13): 2269-2274
Published online May 6, 2024. doi: 10.12998/wjcc.v12.i13.2269
Deferred revascularization in diabetic patient according to combined invasive functional and intravascular imaging data: A case report
Arif Al Nooryani, Wael Aboushokka, Branko Beleslin, Biljana Nedeljkovic-Beleslin
Arif Al Nooryani, Wael Aboushokka, Department of Cardiology, Al Qassimi Hospital, Sharjah 1234, United Arab Emirates
Branko Beleslin, Department of Cardiology, Medical Faculty, University of Belgrade, Belgrade 11000, Serbia
Biljana Nedeljkovic-Beleslin, Institute of Endocrinology, Diabetes and Metabolic Disorders, Univeristy Clinical Center of Serbia, Belgrade 11000, Serbia
Biljana Nedeljkovic-Beleslin, Department of Internal Medicine/Endocrinology, Medical faculty, University of Belgrade, Belgrade 11000, Serbia
Author contributions: Al Nooryani A contributed to conception, design, acquisition of data and final approval; Aboushokka W contributed to acquisition of data, analysis and interpretation; Beleslin B contributed to conception, design, acquisition of data, analysis, writing the case report; Nedeljkovic-Beleslin B contributed to analysis, interpretation and critical analysis.
Informed consent statement: Study participant provided informed written consent prior to diagnostic intervention.
Conflict-of-interest statement: All authors declare that they don’t have conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Branko Beleslin, FACC, FESC, MD, PhD, Full Professor, Department of Cardiology, Medical Faculty, University of Belgrade, Dr Subotica 8, Belgrade 11000, Serbia. branko.beleslin@gmail.com
Received: December 22, 2023
Peer-review started: December 22, 2023
First decision: January 10, 2024
Revised: January 25, 2024
Accepted: March 20, 2024
Article in press: March 20, 2024
Published online: May 6, 2024
Processing time: 124 Days and 21.7 Hours
Core Tip

Core Tip: We present a case of the diabetic patient with moderate-to-severe coronary stenosis with preserved fractional flow reserve, low coronary flow reserve, high index of microvascular resistance and intravascular optical coherence tomography image demonstrating fibrotic plaque without signs of thin-cup fibroatheroma. Combined functional and anatomic imaging of intermediate coronary stenosis represent comprehensive contemporary decision pathway in the management of the patients.