{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:02:07Z","timestamp":1789542127690,"version":"build-2803163510"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Simultaneous multivessel coronary thrombosis is uncommon, and its optimal management is undefined, particularly when one culprit is non\u2010occlusive. Optical coherence tomography (OCT) can distinguish plaque rupture from erosion and thereby identify lesions amenable to a stent\u2010sparing, antithrombotic strategy. We report a 34\u2010year\u2010old smoker of Mongolian origin who sustained an inferior myocardial infarction from simultaneous thrombosis of the right coronary artery (RCA, totally occluded) and the proximal left anterior descending artery (LAD, non\u2010occlusive). After emergency thromboaspiration and stenting of the RCA at the referring center, he was transferred to our institution. Because thrombus persisted in the right marginal branch and the LAD, intracoronary imaging was deferred until the acute thrombotic phase had settled. Day 10 OCT demonstrated LAD plaque erosion; a stent\u2010sparing strategy was adopted, and the still\u2010thrombotic RCA territory was left uninstrumented, under intensive antithrombotic therapy. By Day 28, both vessels had resolved, with a healed, layered LAD plaque on co\u2010registered OCT, and RCA stent under\u2010expansion was optimized. OCT\u2010guided, vessel\u2010by\u2010vessel individualization permitted safe conservative management and avoided unnecessary stenting.<\/jats:p>","DOI":"10.1002\/ccd.70892","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T04:53:32Z","timestamp":1789448012000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stenting the Right, Sparing the Left: Optical Coherence Tomography\u2013Guided Management of Simultaneous Multivessel Coronary Thrombosis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4709-373X","authenticated-orcid":false,"given":"Thibaut","family":"Prevautel","sequence":"first","affiliation":[{"name":"Department of Cardiology Sainte\u2010Anne Military Teaching Hospital Toulon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5055-4234","authenticated-orcid":false,"given":"Rapha\u00ebl","family":"Demoulin","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sainte\u2010Anne Military Teaching Hospital Toulon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Schmitt","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sainte\u2010Anne Military Teaching Hospital Toulon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Cellarier","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sainte\u2010Anne Military Teaching Hospital Toulon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.05.071"},{"key":"e_1_2_11_3_1","first-page":"792","article-title":"Effective Anti\u2010Thrombotic Therapy Without Stenting: Intravascular Optical Coherence Tomography\u2010Based Management in Plaque Erosion (The EROSION Study)","volume":"38","author":"Jia H.","year":"2017","journal-title":"European Heart Journal"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.09.079"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/cdt-21-631"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1216063"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e3182428f49"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70892","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70892","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70892","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:03:32Z","timestamp":1789538612000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70892"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,14]]},"references-count":6,"alternative-id":["10.1002\/ccd.70892"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70892","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,14]]},"assertion":[{"value":"2026-07-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ccd.70892"}}