[Late thrombosis after bare metal stent implantation in a patient with acute coronary syndrome].
We present a case of a 47-year-old man with ST-segment-elevation myocardial infarction (STEMI), successfully treated with bare metal stent implantation. After 20 months the patient was readmitted with another episode of STEMI due to in-stent thrombosis following voluntary withdrawal of anti-platelet therapy. The implications of late stent thrombosis after bare metal stent implantation are discussed. We compare this phenomenon with thrombosis after implantation of drug-eluting stents. Various aspects and potential causes of late stent thrombosis are reviewed, especially the issues pertaining the use of anti-platelet therapy and duration of this therapy.
Chyrchel
Michał
M
II Klinika Kardiologii, Instytut Kardiologii, CM UJ, ul. Kopernika 17, 31-501 Kraków. mchyrchel@cathlab.krakow.pl
Rzeszutko
Łukasz
Ł
Rakowski
Tomasz
T
Chyrchel
Bernadeta
B
Dudek
Dariusz
D
D054058:Acute Coronary Syndrome / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology*; D054855:Drug-Eluting Stents / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors; D018084:Ultrasonography, Interventional