Neointimal healing pattern of a drug-eluting stent in a coronary hematoma. Case resolution

Abstract

CASE RESOLUTION Six weeks later a coronary angiography was performed to assess any possible stent malapposition after the reabsorption of the hematoma. From the angiographical point of view, the patency of the stents was evident with Thrombolysis in Myocardial Infarction flow 3 in the posterior-posterolateral descending bifurcation. The optical coherence tomography (OCT) revealed the stent malapposition with respect to the vessel wall but with tissue proliferation from the wall towards the struts (figure 1), indicative that strut coverage happened earlier compared to the reabsorption of the hematoma.