Double-trouble: three cases with simultaneous stent thrombosis in different coronary arteries.
We report about three cases with a unique simultaneous double- trouble stent thrombosis in different coronary arteries. Although the triggering mechanism remains purely speculative, it is possible that suboptimal stent size and perhaps underexpansion caused the stent thrombosis in one stent resulting in a heightened platelet activation and impaired hemodynamics causing the second stent thrombosis.
van Werkum
Jochem W
JW
Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands. woutervanwerkum@gmail.com
Seesing
Toine H
TH
Suttorp
Maarten-Jan
MJ
Bal
Egbert T
ET
den Heijer
Peter
P
Ten Berg
Jurriën M
JM
D000368:Aged; D000800:Angioplasty, Balloon; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001241:Aspirin / Q000627:therapeutic use; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D000077144:Clopidogrel; D003328:Coronary Thrombosis / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012307:Risk Factors; D015607:Stents / Q000009:adverse effects*; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D013997:Time Factors
D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin