Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient

Abstract

Optical coherence tomography (OCT) can guide percutaneous coronary interventions to optimize results, thus minimizing the risk of stent thrombosis. We present the case of a cancer patient, paroxysmal atrial fibrillation, and unstable angina who underwent OCT–guided complex percutaneous coronary intervention and who required early discontinuation of antiplatelet therapy because of major bleeding. (Level of Difficulty: Beginner.)

Keywords

• DOAC
• high bleeding risk
• optical coherence tomography
• unprotected left main angioplasty