OFDI-Guided Stentless PCI for Erosion-Related STEMI Unmasking Antiphospholipid Syndrome
Atsuhiro Saito, Yoshinari Enomoto, Ryo Terashima, Wataru Miyake, Masaya Yamamoto, Hisao Hara, Yukio Hiroi · 2026
Read OFDI-Guided Stentless PCI for Erosion-Related STEMI Unmasking Antiphospholipid Syndrome by Atsuhiro Saito, Yoshinari Enomoto, Ryo Terashima, Wataru Miyake, Masaya Yamamoto, Hisao Hara, Yukio Hiroi (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13571348.txt.
Description
Saito and colleagues present a 2026 case report of a 25-year-old man with a major heart attack caused by plaque erosion rather than plaque rupture. Imaging inside the artery showed a clot-heavy lesion with the wall intact, and his heart had stopped and needed shock support on arrival.
Instead of placing a stent, the team held a perfusion balloon inflated for a long period, which restored full blood flow. Blood tests repeated twelve weeks later confirmed antiphospholipid syndrome, an immune disorder that promotes clots, and he was started on warfarin alone. Skipping the stent avoided leaving metal in a young artery. The case argues for testing young heart attack patients for clotting disorders, since the answer changes lifelong treatment from standard drugs to blood thinners.
Catalog record
| CREATOR | Atsuhiro Saito, Yoshinari Enomoto, Ryo Terashima, Wataru Miyake, Masaya Yamamoto, Hisao Hara, Yukio Hiroi |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 17 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |