For patients with acute myocardial infarction, current management guidelines recommend implantation of a drug-eluting stent, dual antiplatelet therapy (including potent P2Y12 inhibitors) for at least 1 year, and maintenance of life-long antiplatelet therapy. However, a pilot study showed favorable results with antithrombotic therapy without stent implantation when plaque erosion, not definite plaque rupture, was confirmed using optical coherence tomography (OCT), despite the patients having acute myocardial infarction. Here, we present a case where successful primary percutaneous coronary intervention was performed without stenting with the aid of OCT in a patient with ST-elevation myocardial infarction who developed thrombotic total occlusion of the right coronary artery.
|Number of pages||6|
|Journal||Yonsei medical journal|
|Publication status||Published - 2022 Apr|
Bibliographical noteFunding Information:
This work supported by a faculty research grant from Yonsei University College of Medicine (6-2020-0161) and research seed money grant from Internal Medicine in Yongin Severance Hospital.
© Yonsei University College of Medicine 2022.
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