Stent thrombosis with an aneurysm 7 years after a drug eluting stent implantation.

Autor: Patil P; Senior Resident, Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025, India., Sethi A; Consultant, Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025, India., Kaul U; Prof, Executive Director and Dean, Department Of Intervention Cardiology, Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025, India. Electronic address: kaul.upendra@gmail.com.
Jazyk: angličtina
Zdroj: Indian heart journal [Indian Heart J] 2014 Mar-Apr; Vol. 66 (2), pp. 216-9. Date of Electronic Publication: 2014 Mar 27.
DOI: 10.1016/j.ihj.2014.02.002
Abstrakt: We report a case of very late stent thrombosis 7 years post sirolimus eluting stent implantation presenting as ST elevation MI while on dual antiplatelet therapy. Angiography revealed an aneurysm at the proximal end of the stent. The patient was managed successfully by primary percutaneous coronary intervention (PCI) with adjunct thrombus aspiration and intracoronary abciximab administration followed by deploying a mesh-covered stent MGuard. This very late complication is a rare presentation after a drug illuting stent (DES).
(Copyright © 2014 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE