title: A case of very late thrombosis of bare metal stent successfully treated with excimer laser coronary angioplasty.
abstract: Late thrombosis occurring after bare metal stent (BMS) implantation is a rare complication. However, it is often associated with poor outcome. Mechanisms underlying BMS thrombosis may differ from those underlying drug eluting stent thrombosis. In particular, severe instent restenosis may trigger thrombus formation. This case report describes a very late thrombosis of BMS occurring on an in-stent restenosis. After failure of manual thrombectomy, the case was successfully faced by Excimer Laser Coronary Angioplasty (ELCA). Cases like this may be successfully treated by devices like ELCA combining debulking and thrombus removal capabilities.
authors.affiliation: Institute of Cardiology, Catholic University, Rome, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Larosa
authors.affiliation: Institute of Cardiology, Catholic University, Rome, Italy.
authors.forename: Annalisa
authors.initials: A
authors.lastname: Ricco
authors.affiliation: Institute of Cardiology, Catholic University, Rome, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Cosentino
authors.affiliation: Institute of Cardiology, Catholic University, Rome, Italy.
authors.forename: Marcello
authors.initials: M
authors.lastname: Marino
authors.affiliation: Institute of Cardiology, Catholic University, Rome, Italy.
authors.forename: Rocco
authors.initials: R
authors.lastname: Mongiardo
authors.affiliation: Institute of Cardiology, Catholic University, Rome, Italy. Electronic address: gniccoli73@hotmail.it.
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Niccoli
mesh_terms: D000368:Aged; D017222:Angioplasty, Balloon, Laser-Assisted / Q000379:methods*; D003328:Coronary Thrombosis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D054018:Lasers, Excimer / Q000627:therapeutic use; D008297:Male; D008670:Metals; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors
chemical_list: D008670:Metals