March 3, 2026

Mechanical reperfusion of subocclusive plaque erosion: 30-month outcome of an optical coherence tomography-guided stentless strategy

Key Points

Mechanical reperfusion showed promising results with a focus on a stentless strategy, enhancing patient recovery.
The patient experienced a 99% stenosis in a critical artery, which was effectively managed through angiography and intervention.

Structured PICO

Population

1 28-year-old man with no cardiovascular risk factors presenting with an acute anterior ST-elevation myocardial infarction (STEMI) at H+6 after strenuous physical exertion, with 99% subocclusive stenosis of the mid-left anterior descending artery involving a major bifurcation.

Intervention

Optical coherence tomography (OCT)-guided stentless strategy for mechanical reperfusion

Outcome

30-month outcome

This case report describes the 30-month outcome of an OCT-guided stentless mechanical reperfusion strategy for a young patient with STEMI due to plaque erosion.

Abstract

A 28-year-old man with no cardiovascular risk factors presented with an acute anterior ST-elevation myocardial infarction at H+6 after strenuous physical exertion. Emergent angiography revealed a 99% subocclusive stenosis of the mid-left anterior descending artery involving a major bifurcation.

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Cite This Study

Ouerghi et al. (Thu,) studied this question.

synapsesocial.com/papers/69a75a72c6e9836116a20438 https://doi.org/https://doi.org/10.25270/jic/26.00020

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