Very late stent thrombosis after discontinuation of clopidogrel therapy.
Stent thrombosis is an infrequent but severe complication after coronary stent implantation. Dual antiplatelet therapy has markedly reduced the occurrence of this potentially catastrophic event. The optimal duration of clopidogrel therapy in patients with drug-eluting stents is unknown. We describe a case of stent thrombosis 9 days after discontinuation of clopidogrel therapy, more than 3 years after placement of drug-eluting stents.
Barthwal
Rohit
R
Launceston General Hospital, Launceston, TAS. rohitbarthwal@rediffmail.com
Herman
Brian A
BA
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D000077144:Clopidogrel; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D011183:Postoperative Complications; D011475:Prosthesis Failure; D011859:Radiography; D015607:Stents; D013988:Ticlopidine / Q000031:analogs & derivatives* / Q000627:therapeutic use; D013997:Time Factors
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine