Time does not heal every wound: coronary stent thrombosis of a bare-metal stent more than one decade after its implantation.
In the present report, we describe a unique case of very late stent thrombosis with a bare-metal stent that occurred more than a decade after stent implantation. Potential explanations for the late stent thrombosis are non-compliance to aspirin, late acquired malapposition of the stent, progression of atherosclerosis or in-stent restenosis. In our patient, none of these explanations seems to have played a role. Although the occurrence of (very) late stent thrombosis is not uncommon with drug-eluting stent (DES), it is rather unusual with bare-metal stent (BMS). Nevertheless, cardiologists should be aware of the potential complication of late stent thrombosis, even with bare-metal stents.
Department of Cardiology, St. Antonius Hospital, 3435 CM Nieuwegein, the Netherlands.
A Carla
AC
Zomer
Bastiaan
B
Zwart
Jochem W
JW
van Werkum
Maarten-Jan
MJ
Suttorp
D000244:Adenosine Diphosphate / Q000097:blood; D015906:Angioplasty, Balloon, Coronary; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D000077144:Clopidogrel; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015607:Stents / Q000009:adverse effects*; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use
D010975:Platelet Aggregation Inhibitors; D000244:Adenosine Diphosphate; D000077144:Clopidogrel; D013988:Ticlopidine