A case of late stent thrombosis after paclitaxel-eluting stent implantation
Turk Kardiyoloji Dernegi Arsivi, cilt.35, sa.2, ss.97-100, 2007 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35 Sayı: 2
- Basım Tarihi: 2007
- Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.97-100
- Anahtar Kelimeler: Coronary disease, coronary thrombosis/etiology, paclitaxel, stents/adverse effects
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Drug-eluting stents are widely used in the treatment of coronary artery disease, but late stent thrombosis is still a concern. A 54-year-old male patient who presented with unstable angina pectoris underwent paclitaxel-eluting stent implantation for 90% stenosis in the right coronary artery (RCA). He was asymptomatic during follow-up and Clopidogrel was discontinued 13 months after the procedure. However, 17 months after stent implantation he presented with acute inferior myocardial infarction. Coronary angiography revealed total in-stent thrombosis in the RCA. Thrombotic occlusion was easily passed with a floppy guide wire and balloon angioplasty was successful resulting in TIMI II-III flow. The. patient was asymptomatic during hospital stay and was discharged on appropriate medications.