1. Stent Thrombosis in Ostial Lesion: Diagnosis and Treatment Guided by Optical Coherence Tomography

    Stent Thrombosis in Ostial Lesion: Diagnosis and Treatment Guided by Optical Coherence Tomography

    To the Editor , Optical coherence tomography (OCT) is an intracoronary diagnostic technique of particular interest for characterization of the atheromatous plaque and assessment of the outcome of stenting by percutaneous coronary intervention. We present a case of stent thrombosis in which OCT provided very useful information for arriving at the diagnosis, understanding the thrombotic mechanism, deciding on the most appropriate therapeutic strategy, and guiding percutaneous coronary intervention. The patient was a 65-year-old man, referred for primary angioplasty due to inferolateral acute myocardial infarction with onset 3 h earlier. He had completely discontinued double antiplatelet therapy 1 week earlier. Eight months ...

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