title: A case of subacute stent thrombosis after drug-coated balloon coronary angioplasty for in-stent restenosis under single anti-platelet therapy.
abstract: This report describes a case of subacute stent thrombosis (SAT) after drug-coated balloon (DCB). A 79-year-old male was investigated for stable angina. An in-stent restenosis (ISR) lesion was detected by coronary angiography. A skin reaction related to the anti-platelet agent thienopyridine was also observed at this time. Therefore, DCB was used to treat the ISR lesion under single anti-platelet therapy (aspirin). However, 3 days after percutaneous coronary intervention, SAT occurred. OCT did not reveal the underlying cause of SAT. Further data are needed to clarify the optimal duration of dual anti-platelet therapy after DCB.
authors.affiliation: Division of Cardiology, Cardiovascular Center, Akane Foundation Tsuchiya General Hospital, 3-30 Nakashima-cho, Nakaku, Hiroshima, 730-8655, Japan. u_zo818@yahoo.co.jp.
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Kagawa
authors.affiliation: Division of Cardiology, Cardiovascular Center, Akane Foundation Tsuchiya General Hospital, 3-30 Nakashima-cho, Nakaku, Hiroshima, 730-8655, Japan.
authors.forename: Nobuo
authors.initials: N
authors.lastname: Shiode
authors.affiliation: Division of Cardiology, Cardiovascular Center, Akane Foundation Tsuchiya General Hospital, 3-30 Nakashima-cho, Nakaku, Hiroshima, 730-8655, Japan.
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Kawase
authors.affiliation: Division of Cardiology, Cardiovascular Center, Akane Foundation Tsuchiya General Hospital, 3-30 Nakashima-cho, Nakaku, Hiroshima, 730-8655, Japan.
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Tamekiyo
authors.affiliation: Division of Cardiology, Cardiovascular Center, Akane Foundation Tsuchiya General Hospital, 3-30 Nakashima-cho, Nakaku, Hiroshima, 730-8655, Japan.
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Okimoto
authors.affiliation: Division of Cardiology, Cardiovascular Center, Akane Foundation Tsuchiya General Hospital, 3-30 Nakashima-cho, Nakaku, Hiroshima, 730-8655, Japan.
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Hayashi
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D000072658:Non-ST Elevated Myocardial Infarction / Q000175:diagnosis / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012086:Reoperation; D013988:Ticlopidine / Q000627:therapeutic use*; D041623:Tomography, Optical Coherence
chemical_list: D010975:Platelet Aggregation Inhibitors; D013988:Ticlopidine
keywords: Anti-platelet therapy; Drug-coated balloon; Stent thrombosis