Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: "Very" Very Late Stent Thrombosis

被引:4
作者
Rao, Raghavendra K. [1 ]
Reddy, S. [1 ]
Kashyap, J. R. [1 ]
Vikas, K. [1 ]
Reddy, Hithesh [1 ]
Ramalingam, Vadivelu [2 ]
机构
[1] Govt Med Coll & Hosp, Dept Cardiol, Sect 32, Chandigarh 160030, India
[2] Velammal Med Coll Hosp & Res Inst, Dept Cardiol, Madurai 625009, Tamil Nadu, India
关键词
ELUTING STENTS; EFFICACY;
D O I
10.1155/2020/9628719
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Very late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal stents. The exact pathophysiologic mechanism of VLST after BMS implantation is not known although various mechanisms have been proposed. Recently, in-stent neoatherosclerosis with intimal plaque rupture has been proposed as a potential mechanism of VLST after BMS. We report a rare case of VLST occurring 17 years after BMS implantation with angiographic and intravascular imaging evidence which provides insight into the mechanisms of VLST.
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页数:5
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