[Recurrent stent thrombosis in a patient with non-ST-segment elevation acute coronary syndrome].
A case of a 64-year-old male with multiple cardiovascular disease risk factors and non-ST segment elevation myocardial infarction complicated by recurrent stent thrombosis is presented. Percutaneous coronary angioplasty with bare metal stent implantation was performed due to critical stenosis of the left circumflex coronary artery. The recovery was complicated by two episodes of stent thrombosis on the 4th and 10th day of in-hospital stay, both treated by subsequent percutaneous coronary interventions. Our hypothesis of resistance to antiplatelet therapy was confirmed by an in vitro test.
Piatek
Lukasz
L
II Kliniczny Oddział Kardiologii, Swietokrzyskie Centrum Kardiologii, Kielce. l_piatek@op.pl
Piatek
Karolina
K
Polewczyk
Anna
A
Sielski
Janusz
J
Janion
Marianna
M
D054058:Acute Coronary Syndrome / Q000150:complications / Q000628:therapy*; D000077144:Clopidogrel; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D004351:Drug Resistance; D004562:Electrocardiography; D019544:Equipment Failure Analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012008:Recurrence; D015607:Stents / Q000009:adverse effects*; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine