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07 March 2024: Clinical Research

One-Year Clinical Outcomes in Acute ST-Segment Elevation Myocardial Infarction Patients Undergoing Optical Coherence Tomography-Guided Primary Percutaneous Coronary Intervention: A Comparative Study

Yen-Nan Fang 1B , Wei-Chieh Lee 23AF* , Chien-Jen Chen 1B , Chiung-Jen Wu 1BD , Chih-Yuan Fang 1B , Hsiu-Yu Fang 14EFG*

DOI: 10.12659/MSM.943298

Med Sci Monit 2024; 30:e943298

Figure 1 A 58-year-old woman presented with acute anterior wall ST elevation myocardial infarction. (A) the left coronary angiogram showed the culprit lesion thrombotic occlusion at proximal left anterior descending artery (LAD), with a right anterior oblique caudal view. (B) The left coronary angiogram after thrombus suction. (C) The arrow shows the culprit site after thrombus suction, with a right anterior oblique cranial view. (D) The arrow shows the result after drug-eluting stent (DES) and optical computed tomography (OCT)-guided percutaneous coronary intervention (PCI). (E) OCT finding at the culprit site, with much thrombus and minimal luminal area (MLA) only 1.9 mm2 after thrombus suction. (F) OCT finding at the LAD reference site, with MLA 4.7 mm2. (G) OCT finding at the culprit site after DES implantation. (H) OCT finding at the LAD reference site.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750