The success of revascularization in the total occluded coronary lesion with dense thrombus burden is important for the short- and long-term prognosis of patients with acute ST-segment elevation myocardial infarction (STEMI). In these lesions, stenting without dispersing the thrombus can increase the success of revascularization without fatal complications. The aim of this case is to demonstrate the newly developed thrombus-demarcated stenting with dual-contrast imaging approach after unsuccessful predilatation in a late-inferior STEMI. In centers where optical coherence tomography is not available, this technique can be used as an alternative.