ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2026
Mechanical Thrombus Aspiration for a Young STEMI Patient With Plaque Erosion: Time for a Stent-Free Approach?
Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A 34-year-old man with no cardiovascular history presented with anterior ST-elevation myocardial infarction and a large thrombotic occlusion of the mid left anterior descending artery. Following potent antithrombotic therapy and mechanical thrombus aspiration, angiography revealed vessel patency without residual significant stenosis, allowing a deferred stent strategy. Subsequent optical coherence tomography confirmed definite plaque erosion, supporting conservative management with dual antiplatelet and intensive lipid-lowering therapy. At 1-year follow-up, the patient remained asymptomatic with no adverse events, underscoring the feasibility of an imaging-guided, stent-free approach in selected young patients with erosion-related acute coronary syndromes.
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