What is your preferred anticoagulation/antiplatelet regimen for younger patients presenting with ACS, found to have an acute thrombotic event requiring aspiration thrombectomy without need for stent deployment?

Interestingly, I had a young patient just like this a few weeks ago who presented with inferior wall STEMI. She was supposed to be taking Xarelto for a h/o recurrent DVT/PE (unclear workup as she was new to us and concerned about non-adherence to Xarelto).

After mechanical thrombectomy and manual a...

Spontaneous in situ thrombosis of a coronary is rare, especially in the absence of a plaque rupture event. Malignancy-related coronary thrombotic occlusion, even with DOAC semi-compliance, is pathophysiologically difficult to understand, because coronary arteries are relatively high-flow areas, fili...