Long and Massive Thrombus in the Left Coronary Artery: A Case of Acute Myocardial Infarction Treated Using Immediate Stenting and Direct Oral Anticoagulant Plus Dual Antiplatelet Therapy

If immediate stenting with thrombolysis using a direct oral anticoagulant plus dual antiplatelet agents is successful without distal embolism, this strategy could be a better treatment than deferred stenting in terms of preventing periprocedural cardiac adverse events and reducing healthcare costs. Furthermore, dual antiplatelet agents plus direct oral anticoagulant combination therapy are considered to suppress platelet function and fibrin generation strongly, leading to the disappearance of thrombus.