Introduction
Stent thrombosis (ST) is a complication of percutaneous coronary
intervention (PCI) with catastrophic clinical consequences and an
incidence rate of 3% - 20% . Stent underexpansion and malapposition
are the major causes of this complication that can be well-diagnosed and
prevented by intracoronary imaging like intravascular ultrasound (IVUS)
and optical coherence tomography (OCT) .
This report presents a 60-year-old gentleman with a history of recent
PCI on RCA (due to inferior NSTEMI). RCA stent thrombosis was diagnosed
during staged PCI for LCX-OM which was successfully managed under the
guidance of IVUS.