Optical coherence tomography guided treatment avoids stenting in an antiphospholipid syndrome patient: A case report

Figure 2 Baseline electrocardiography, coronary angiography, and optical coherence tomography. A: Emergency electrocardiography showing acute anterior wall ST elevation myocardial infarction; B: Emergency coronary angiography showing acute total occlusion and thrombus of the proximal left anterior descending artery (pLAD); C: pLAD after repeated thrombus aspirations; C1: Zoom-in image of pLAD; D: Normal right coronary artery; E-G: Representative cross-sectional optical coherence tomography images of the pLAD. Distal reference image of the pLAD stenosis (E), residual red and white thrombi around the optical coherence tomography catheter (F), and minimal lumen area of pLAD (2.19 mm²), area stenosis (67.3%), and residual thrombus (G, 3 o’clock to 9 o’clock) are shown; H: Normal left anterior descending artery ostium.