title: Very late stent thrombosis 5 years after IVUS-guided drug-eluting stent implantation.
abstract: It is well accepted that drug-eluting stents (DES) are effective in reducing restenosis, although implantation of DES may result in increased occurrence of stent thrombosis. The study describes the case of a patient with very late stent thrombosis (VLST) despite intravascular ultrasound (IVUS) control after implantation of a paclitaxel-eluting stent, an adequate response to antiplatelet therapy, and the lack of distinct risk factors for VLST. Stent thrombosis remains a serious complication after stent implantation even after prolonged time, and studies are urgently needed to optimize diagnosis and treatment of VLST.
authors.affiliation: Department of Cardiology and Cardiovascular Medicine, University Clinic of Tuebingen, Tuebingen, Germany.
authors.forename: Reinhard J
authors.initials: RJ
authors.lastname: Sauter
authors.forename: Martin
authors.initials: M
authors.lastname: Steeg
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Bocksch
authors.forename: Jürgen
authors.initials: J
authors.lastname: Schreieck
authors.forename: Meinrad
authors.initials: M
authors.lastname: Gawaz
authors.forename: Harald F
authors.initials: HF
authors.lastname: Langer
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D005260:Female; D006801:Humans; D017239:Paclitaxel / Q000008:administration & dosage; D012307:Risk Factors; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D017239:Paclitaxel