title: Very late thrombosis in a bare metal stent: mechanistic analysis from optical coherence tomography.
abstract: Recent publications have emphasized the concept that restenosis of a bare metal stent (BMS) is not as clinically benign as previously believed. We present a case of very late stent thrombosis 9 years after implantation of a BMS is described. Optical coherence tomography shows plaque rupture in the stent. These findings suggest that the formation and progression of a neoatheroma over a previously healed intrastent vascular intima may represent a "new" mechanism for stent thrombosis. Evidence from the current case supports this hypothesis.
authors.affiliation: Department of Cardiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Qian
authors.forename: Yue-Jin
authors.initials: YJ
authors.lastname: Yang
mesh_terms: D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery; D015607:Stents; D013997:Time Factors; D041623:Tomography, Optical Coherence / Q000379:methods*