Very late bare-metal stent thrombosis. A case report and review of the literature.
Stent thrombosis is a catastrophic event characterized by the acute thrombotic occlusion of a previously-stented segment of a coronary artery. It usually presents as an ST-segment elevation myocardial infarction and/or death, and most commonly occurs within the first several weeks after stent placement. Stent thrombosis is classified as either subacute stent thrombosis (SAT), occurring within 30 days of stent placement, or as late stent thrombosis (LST), occurring after 30 days. While very late stent thrombosis (VLST), occurring beyond 1 year, is not uncommon with the use of drug-eluting stents, it is distinctly unusual with the use of bare-metal stents. We report a case of very late thrombosis of a bare-metal stent occurring 717 days after implantation.
Manjappa
Nagarathna
N
Interventional Cardiology Division, SUNY Downstate Medical Center, Brooklyn, New York, USA.
Agarwal
Ajay
A
Cavusoglu
Erdal
E
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003324:Coronary Artery Disease / Q000601:surgery*; D003328:Coronary Thrombosis / Q000150:complications / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control; D003331:Coronary Vessels / Q000503:physiopathology / Q000601:surgery; D016503:Drug Delivery Systems; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011183:Postoperative Complications; D012307:Risk Factors; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors
D010975:Platelet Aggregation Inhibitors