Optical coherence tomography guided thrombectomy through a “home-made” aspiration catheter in a young patient with myocardial infarction. To stent or not to stent?

Conservative treatment of anterior ST-segment elevation myocardial infarction with a large thrombus burden in the left main coronary artery

“…Angiographic evidence of thrombus can be seen in 91.6% of patients who present with ST-elevation myocardial infarction (STEMI) [ 1 ]. The use of OCT is essential to reveal the underlying pathophysiology, and optimize therapeutic options [ 2 ]. Massive intracoronary thrombus has been reported in 16.4% of patients with acute coronary syndrome [ 3 ].…”