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.
Hypothesis-generating for stentless reperfusion in young plaque-erosion STEMI; prospective trials needed before clinical adoption.
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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Ouerghi et al. (2026) studied this question.
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