title: Disruption of atherosclerotic neointima as a cause of very late stent thrombosis after bare metal stent implantation.
abstract: A male who were implanted bare metal stent 11 years ago were admitted for acute coronay syndrome. Optical coherence tomography showed a neointimal disruption and integrated backscatter intravascular ultrasound revealed a lipid pool around the disrupted neointima, suggesting newly formed atherosclerotic neointima developed after bare metal stent implantation. The disruption of atherosclerotic neointima may represent a new potential mechanism of very late stent thrombosis after bare metal stent implantation.
authors.affiliation: Department of Cardiology, Chubu-Rosai Hospital, Nagoya, Japan. hirohiko131@yahoo.co.jp
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Ando
authors.forename: Hideki
authors.initials: H
authors.lastname: Ishii
authors.forename: Daiji
authors.initials: D
authors.lastname: Yoshikawa
authors.forename: Tadayuki
authors.initials: T
authors.lastname: Uetani
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Amano
authors.forename: Toyoaki
authors.initials: T
authors.lastname: Murohara
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D050197:Atherosclerosis / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000601:surgery*; D058426:Neointima / Q000000981:diagnostic imaging / Q000473:pathology*; D011475:Prosthesis Failure; D015607:Stents; D013997:Time Factors; D041623:Tomography, Optical Coherence; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology; D018084:Ultrasonography, Interventional