Retrograde embolization after balloon angioplasty in a patient with late stent subthrombosis in a paclitaxel-eluting stent.
We report on a 65-year-old patient who underwent a semi-urgent percutaneous coronary intervention (PCI) for a very late stent subthrombosis (13 months) in a paclitaxel-eluting stent (PES) while still on dual antiplatelet therapy.The procedure was complicated by a retrograde embolization into the circumflex artery (CFX). We will focus on the risk of distal embolization after primary PCI for acute stent thrombosis and its prevention.
De Wolf
Axel
A
Cardiology Department, Virga Jesse Hospital, Hasselt, Belgium. ade_wolf@hotmail.com
Basoglu
Aydin
A
Vranckx
Pascal
P
Benit
Edouard
E
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000628:therapy; D003328:Coronary Thrombosis / Q000209:etiology / Q000628:therapy*; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D006801:Humans; D008297:Male; D017239:Paclitaxel / Q000008:administration & dosage; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D013997:Time Factors
D010975:Platelet Aggregation Inhibitors; D017239:Paclitaxel