Very late thrombosis in a patient with a drug-eluting stent for intracranial atherosclerotic stenosis.
Late stent thrombosis is an infrequent, but severe, complication after implantation of a drug-eluting stent. We report one such patient, a 69-year-old man with intracranial vertebral artery stenosis. He experienced very late stent thrombosis after discontinuation of clopidogrel therapy, about 16 months after the insertion of a Taxus Stent (Boston Scientific Corporation, Natick, MA, USA). The patient recovered well, with good clinical outcome, after the re-initiation of dual antiplatelet and anticoagulation therapy. No abnormality within the stent was identified on a repeat angiogram taken 4 weeks after treatment re-initiation.
Huang
Qinghai
Q
Department of Neurosurgery, Changhai Hospital, 168 Changhai Road, Shanghai 200433, China.
Hong
Bo
B
Xu
Yi
Y
Liu
Jianmin
J
D000368:Aged; D002533:Cerebral Angiography / Q000379:methods; D003251:Constriction, Pathologic / Q000601:surgery*; D054855:Drug-Eluting Stents; D006801:Humans; D002537:Intracranial Arteriosclerosis / Q000601:surgery*; D008297:Male; D013927:Thrombosis / Q000209:etiology*