This study explored temperature variations in the arterial wall following coronary wall injury using an animal model. Pigs underwent thermographic scans of a targeted coronary artery area before and after injury induced by a balloon. Temperature disruption was observed immediately after injury that correlated with macrophage concentration at the injury site. Four days later, temperature scans showed persistence of the disruption. The findings suggest wall injury promotes local inflammation that could initiate hyperplasia or thrombosis, so minimizing trauma during coronary interventions is important.