Very late stent fracture associated with a sirolimus-eluting stent.
Late stent thrombosis (>1 year after implantation) is a recognised complication involving drug-eluting stents. Stent fracture is increasingly being reported as a complication of drug-eluting stent, and in particular sirolimus-eluting stent use. We report the case of very late sirolimus-eluting stent fracture resulting in an acute coronary syndrome. This case report highlights the need for greater awareness and post-marketing surveillance to detect a potential mechanism for late stent thrombosis in the drug-eluting stent era.
Leong
D P
DP
Cardiovascular Investigation Unit, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia. dleong@mail.rah.sa.gov.au
Dundon
B K
BK
Puri
R
R
Yeend
R A S
RA
D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D000368:Aged; D017023:Coronary Angiography / Q000379:methods; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D006801:Humans; D007166:Immunosuppressive Agents / Q000494:pharmacology*; D008297:Male; D011475:Prosthesis Failure; D020123:Sirolimus / Q000494:pharmacology*
D007166:Immunosuppressive Agents; D020123:Sirolimus