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communicating with each other (Figure G,H,K, white arrow; Movie S2). On OCT of the LAD, we concluded that this characteristic represented recanalized thrombus. The LAD lesion was treated with a 3.0×38-mm Xience Alpine stent and follow-up OCT showed good strut apposition without edge dissection. The superior resolution of OCT is able to distinguish the etiology of intraluminal events, as highlighted in this case of simultaneously recanalized thrombus and plaque rupture in multivessel lesions, visualized on OCT.

Multivessel Disease With Recanalized Thrombus ― Etiologic Insights From Optical Coherence Tomography ―