Coronary interventions

Periprocedural stent thrombosis after percutaneous coronary intervention for a bifurcation lipid-rich plaque

EuroIntervention 2021;17:439-440. DOI: 10.4244/EIJ-D-20-00731

Jonas  D. Häner
Jonas Dominik Häner1, MD; Jonas Lanz1, MD; Tatsuhiko Otsuka1, MD; Lorenz Räber1, MD, PhD
1. Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland

Figure 1. Stent thrombosis due to atheromatous protrusion after stenting. Left: cross-sectional OCT images (A1-D1; *=calcification) at four stages. Right: corresponding coronary angiographies (A2-D2; black arrows=LAD; white arrows=diagonal branch) and longitudinal OCT views of LAD (A3-D3; red vertical bars indicate site of stent thrombosis and correspond to site of OCT cross-sections; white arrows=diagonal branch). A1-A3. Pre-interventional OCT/angiography: circumferential, predominantly lipid-rich plaque (A1). B1-B3. OCT/angiography of stent thrombosis (arrow in B2): OCT (B1) shows thrombus (red arrow) attached to atheromatous protrusion (yellow arrow), blue arrows=buried stent struts. C1-C3. OCT/...

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