A case of very late thrombosis of bare metal stent successfully treated with excimer laser coronary angioplasty.
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.
Larosa
Claudio
C
Institute of Cardiology, Catholic University, Rome, Italy.
Ricco
Annalisa
A
Institute of Cardiology, Catholic University, Rome, Italy.
Cosentino
Nicola
N
Institute of Cardiology, Catholic University, Rome, Italy.
Marino
Marcello
M
Institute of Cardiology, Catholic University, Rome, Italy.
Mongiardo
Rocco
R
Institute of Cardiology, Catholic University, Rome, Italy.
Niccoli
Giampaolo
G
Institute of Cardiology, Catholic University, Rome, Italy. Electronic address: gniccoli73@hotmail.it.
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
D008670:Metals