title: Very late stent thrombosis complicating a previously lost and partially crushed stent: demonstration by optical coherence tomography.
abstract: Stent thrombosis (ST) is the most dramatic complication of coronary stenting. Mechanisms of ST are multiple, including procedural and patient-related factors. A considerable burden of metal inside the coronary has been associated with ST as suggested by the higher rate of ST in case of multiple overlapping or complex two stents procedure in bifurcation lesions. However, occasional stent loss and failure to retrieve it may be a substrate of ST, especially if multiple layers of stent struts are incompletely crushed. Here, we describe a case of very late ST on a partially crushed stent previously lost inside the coronary circulation, using optical coherence tomography (OCT) for guidance during the procedure.
authors.affiliation: Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Rocco A
authors.initials: RA
authors.lastname: Montone
authors.forename: Leonardo
authors.initials: L
authors.lastname: Cataneo
authors.forename: Silvia
authors.initials: S
authors.lastname: Minelli
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Niccoli
mesh_terms: D000368:Aged; D023903:Coronary Restenosis / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D011859:Radiography; D015607:Stents / Q000009:adverse effects*; D013927:Thrombosis / Q000209:etiology / Q000628:therapy*; D013997:Time Factors; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome