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Very late thrombosis after drug-eluting stents

✍ Scribed by Fausto Feres; J. Ribamar Costa Jr.; Alexandre Abizaid

Publisher: John Wiley and Sons
Year: 2006
Tongue: English
Weight: 371 KB
Volume: 68
Category: Article
ISSN: 1522-1946
DOI: 10.1002/ccd.20692

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✦ Synopsis

Abstract

Stent thrombosis is a rare but potentially fatal complication of percutaneous treatment of coronary disease. Its occurrence after drug eluting stent (DES) placement has raised concerns, especially when it occurs late after the stent implantation. The mechanisms of late thrombosis after DES have yet to be completely understood. By means of serial angiography and intravascular (IVUS) images we described a relatively new and unusual vessel response to drug‐eluting stents (e.g. huge positive remodeling in all vessel extension), leading to impressive late‐acquired incomplete stent apposition and finally causing stent thrombosis and acute myocardial infarction. After describing the two cases, one after Cypher stent implantation and one after Taxus stent implantation, we briefly reviewed the literature available on stent thrombosis with special emphasis on its late occurrence. © 2006 Wiley‐Liss, Inc.

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