Abstract

Advances in intracoronary imaging – particularly optical coherence tomography (OCT) – facilitate the visualisation of detailed vessel anatomy and plaque morphology, which is essential in determining the optimum percutaneous coronary intervention (PCI) strategy. The authors present two cases of OCT-guided PCI in spontaneous recanalisation of coronary thrombus lesions. They emphasise the role of OCT in detecting spontaneous recanalisation of coronary thrombus lesions, allowing optimisation of the PCI strategy and stent deployment. The cases described also illustrate the procedural challenges that can be encountered when managing lesions of this type.

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