Why the study?
Does intracoronary optical coherence tomography (OCT) improve the diagnosis of the culprit artery in STEMI patients with angiographically patent stents?
Does intracoronary optical coherence tomography (OCT) improve the diagnosis of the culprit artery in STEMI patients with angiographically patent stents?
Intracoronary OCT can identify angiographically silent stent thrombosis in STEMI patients who appear to have patent arteries on standard angiography.
OCT may detect angiographically silent stent thrombosis in post-DES STEMI; leaves open its diagnostic role pending prospective data.
The finding of patent arteries on coronary angiography in patients hospitalized for ST-segment elevation myocardialinfarction (STEMI) is not a rare phenomenon in daily practice. However, in a subgroup of these cases, namely patientswith a history of drug-eluting stent implantation, intracoronary optical coherence tomography (OCT) may revealangiographically silent stent thrombosis. We describe the case of a 64-year-old man admitted with clinical, electrocardiographicand biological features of STEMI, despite an angiographically patent stent and non-significant lesions in thecoronary arteries. We emphasize the role of OCT in diagnosing the culprit artery, the etiopathologic substrate andtherapeutic management in such cases.
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Mester et al. (2016) studied this question.
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