This case highlights the utility of intravascular ultrasound in identifying and guiding the management of early stent thrombosis caused by coronary intramural hematoma.
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IVUS may identify reversible intramural hematoma in early stent thrombosis; hypothesis-generating and should not yet change practice.
A 42-year-old man was admitted with an inferior ST-segment elevation myocardial infarction. Emergency coronary angiography revealed a critical lesion of the middle right coronary artery, which was treated with a 3.5 x 18-mm zotarolimus-eluting stent.
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Martínez et al. (2026) studied this question.
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