Characteristics of stent thrombosis in bifurcation lesions analyzed by optical coherence tomography

Aims: This work aimed to investigate a cohort of patients presenting with stent thrombosis (ST) explored by optical coherence tomography (OCT) to identify the underlying mechanical abnormalities in case of bifurcation lesions. Methods and results: The PESTO study was a prospective national registry involving 29 French catheterization facilities. Patients with acute coronary syndromes were prospectively screened for presence of definite ST and analyzed by OCT after culprit lesion reopening.The cohort involved n=120 subjects, including n=21 patients (17.5% of the global PESTO group; median age: 62.6 y; 76% male) with bifurcation lesions. The clinical presentation was ...