title: Double-trouble: three cases with simultaneous stent thrombosis in different coronary arteries.
abstract: 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.
authors: Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands. woutervanwerkum@gmail.com
authors: Jochem W
authors: JW
authors: van Werkum
authors: Toine H
authors: TH
authors: Seesing
authors: Maarten-Jan
authors: MJ
authors: Suttorp
authors: Egbert T
authors: ET
authors: Bal
authors: Peter
authors: P
authors: den Heijer
authors: Jurriën M
authors: JM
authors: Ten Berg
mesh_terms: 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
chemical_list: D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin