We r discussing some issues of OCT guided PPCI. Please share your thought regard this STEMI case.
A 39yo/M with Anterior STEMI , 4 hrs onset. LAD was occluded #OCT #PrimaryPCI @RoccoVergallo @BURZOTTA_F @ziadalinyc @MaeharaAkiko @twj1974 @YongcheolKim2 @BBpini @AbbottCardio

Following thrombosuction, revealed severe stenosis in mid LAD. Would you directly advancing OCT or perform predilation ?

Japanese introduced C-Push and D-Push method. But we have no experience using that strategy, so the lesion was predilated using 2.0 mm balloon at nominal atm before advancing OCT catheter. Here it is the OCT result.

Based on OCT finding, what would you do ?