EuroPCR2026-images-93746-OCT-insight-case-recurrent-inferior-wall-MI-stent-failure

Identify the pathology:

Multiple stent aneurysms with underlying stent fracture and areas of luminal thrombus

Stent malapposition with evidence of areas of geographic miss in between stents

Neoatherosclerosis and plaque rupture with areas of luminal thrombus

Correct! The correct answer is "Multiple stent aneurysms with underlying stent fracture and areas of luminal thrombus".

A 49-year-old diabetic, hypertensive male with history of PTCA to RCA, LAD and LCx 2 years back, followed by ACS and redo PCI to RCA 1 year back, now presented with inferior wall STEMI, thrombolysed and taken up for angiography.

Good try! The correct answer is "Multiple stent aneurysms with underlying stent fracture and areas of luminal thrombus".

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