title: [Very late drug-eluting stent thrombosis by stent fracture].
abstract: The superiority of drug-eluting stents in reducing the risk of in-stent restenosis compared to bare-metal stents is no longer challenged. Nevertheless, the drug-eluting stents may carry long-term risk of late and very late stent thrombosis. The promoting factors of this complication are usually divided into three chapters depending on the patient, the procedure and the stent. Indeed, the literature has reported several parameters related to the stent itself, such as its length, the malapposition, its diameter, but also more rarely the occurrence of stent fracture. We present the case of a patient admitted for myocardial infarction after a very late thrombosis of Cypher drug-eluting stent four years after its implantation and related to stent fracture.
authors.affiliation: Département de cardiologie interventionnelle, hôpital Foch, 40, rue Worth, 92151 Suresnes, France. Electronic address: cheaito_radi@hotmail.fr.
authors.forename: R
authors.initials: R
authors.lastname: Cheaito
authors.affiliation: Département de cardiologie interventionnelle, hôpital Foch, 40, rue Worth, 92151 Suresnes, France.
authors.forename: A
authors.initials: A
authors.lastname: Tritar
authors.affiliation: Département de cardiologie interventionnelle, hôpital Foch, 40, rue Worth, 92151 Suresnes, France.
authors.forename: A
authors.initials: A
authors.lastname: Scemama
authors.affiliation: Département de cardiologie interventionnelle, hôpital Foch, 40, rue Worth, 92151 Suresnes, France.
authors.forename: W
authors.initials: W
authors.lastname: Ferrag
authors.affiliation: Département de cardiologie interventionnelle, hôpital Foch, 40, rue Worth, 92151 Suresnes, France.
authors.forename: P
authors.initials: P
authors.lastname: Goy
authors.affiliation: Département de cardiologie interventionnelle, hôpital Foch, 40, rue Worth, 92151 Suresnes, France.
authors.forename: F
authors.initials: F
authors.lastname: Haziza
authors.affiliation: Département de cardiologie interventionnelle, hôpital Foch, 40, rue Worth, 92151 Suresnes, France.
authors.forename: H
authors.initials: H
authors.lastname: Benamer
mesh_terms: D054058:Acute Coronary Syndrome / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D003328:Coronary Thrombosis / Q000209:etiology* / Q000628:therapy; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission; D018570:Risk Assessment; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome
keywords: Fracture du stent actif; Fracture of drug-eluting stent; Infarctus du myocarde; Myocardial infarction; Thrombose très tardive du stent; Very late stent thrombosis