Stent thrombosis during COVID‐19 pandemic: A case series
Abstract The coronavirus disease 2019 (COVID‐19) pandemic originated from Wuhan, China, in late 2019. In addition to the respiratory system, COVID‐19 also affects other organ systems. The disease can lead to cardiovascular complications such as myocarditis, acute myocardial infarction, acute heart f...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-05-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.5872 |
| _version_ | 1828773401978732544 |
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| author | Mohammad Montaseri Reza Golchin Vafa Armin Attar Seyed Ali Hosseini Javad Kojuri |
| author_facet | Mohammad Montaseri Reza Golchin Vafa Armin Attar Seyed Ali Hosseini Javad Kojuri |
| author_sort | Mohammad Montaseri |
| collection | DOAJ |
| description | Abstract The coronavirus disease 2019 (COVID‐19) pandemic originated from Wuhan, China, in late 2019. In addition to the respiratory system, COVID‐19 also affects other organ systems. The disease can lead to cardiovascular complications such as myocarditis, acute myocardial infarction, acute heart failure, and venous thromboembolism; patients with COVID‐19 experience more thrombotic events than non‐COVID‐19 patients. A 50‐year‐old male cigarette smoker presented to the emergency department (ED) with typical chest pain. His electrocardiography (ECG) showed an anterior STEMI. He developed multiple episodes of ventricular fibrillation (VF) and received defibrillator shocks. His angiogram showed thrombotic severe in‐stent restenosis (ISR) of the left anterior descending (LAD) artery stents. A 70‐year‐old diabetic hypertensive woman presented to the ED with dyspnea and chest pain. The patient had undergone angioplasty two times beforehand, and a fresh angiogram revealed severe thrombotic ISR of LAD stents and another far midpart lesion after the stents. She underwent successful percutaneous coronary intervention (PCI). A 54‐year‐old man presented to the ED with typical chest pain commencing an hour beforehand. He had undergone angioplasty about 10 years earlier. The patient received the Oxford/AstraZeneca COVID‐19 vaccine 36 h before developing chest pain. The ECG revealed an infero‐posterior STEMI, and the angiogram depicted thrombotic occluded ISR in the RCA. The patient underwent successful PCI. Patients with COVID‐19 or even with COVID‐19 vaccination experience stent thrombosis due to a hypercoagulable state. Hence, we need standard guidelines to prevent stent thrombosis. |
| first_indexed | 2024-12-11T15:02:33Z |
| format | Article |
| id | doaj.art-0cb9e2b336a340e0924d1cfe4ff228f7 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-12-11T15:02:33Z |
| publishDate | 2022-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-0cb9e2b336a340e0924d1cfe4ff228f72022-12-22T01:01:05ZengWileyClinical Case Reports2050-09042022-05-01105n/an/a10.1002/ccr3.5872Stent thrombosis during COVID‐19 pandemic: A case seriesMohammad Montaseri0Reza Golchin Vafa1Armin Attar2Seyed Ali Hosseini3Javad Kojuri4Cardiology Ward Shiraz University of Medical Sciences Shiraz IranProfessor Kojuri Cardiology Clinic Shiraz IranCardiology Ward Shiraz University of Medical Sciences Shiraz IranProfessor Kojuri Cardiology Clinic Shiraz IranCardiology Ward Shiraz University of Medical Sciences Shiraz IranAbstract The coronavirus disease 2019 (COVID‐19) pandemic originated from Wuhan, China, in late 2019. In addition to the respiratory system, COVID‐19 also affects other organ systems. The disease can lead to cardiovascular complications such as myocarditis, acute myocardial infarction, acute heart failure, and venous thromboembolism; patients with COVID‐19 experience more thrombotic events than non‐COVID‐19 patients. A 50‐year‐old male cigarette smoker presented to the emergency department (ED) with typical chest pain. His electrocardiography (ECG) showed an anterior STEMI. He developed multiple episodes of ventricular fibrillation (VF) and received defibrillator shocks. His angiogram showed thrombotic severe in‐stent restenosis (ISR) of the left anterior descending (LAD) artery stents. A 70‐year‐old diabetic hypertensive woman presented to the ED with dyspnea and chest pain. The patient had undergone angioplasty two times beforehand, and a fresh angiogram revealed severe thrombotic ISR of LAD stents and another far midpart lesion after the stents. She underwent successful percutaneous coronary intervention (PCI). A 54‐year‐old man presented to the ED with typical chest pain commencing an hour beforehand. He had undergone angioplasty about 10 years earlier. The patient received the Oxford/AstraZeneca COVID‐19 vaccine 36 h before developing chest pain. The ECG revealed an infero‐posterior STEMI, and the angiogram depicted thrombotic occluded ISR in the RCA. The patient underwent successful PCI. Patients with COVID‐19 or even with COVID‐19 vaccination experience stent thrombosis due to a hypercoagulable state. Hence, we need standard guidelines to prevent stent thrombosis.https://doi.org/10.1002/ccr3.5872cardiovascular diseaseCOVID‐19in‐stent restenosis |
| spellingShingle | Mohammad Montaseri Reza Golchin Vafa Armin Attar Seyed Ali Hosseini Javad Kojuri Stent thrombosis during COVID‐19 pandemic: A case series Clinical Case Reports cardiovascular disease COVID‐19 in‐stent restenosis |
| title | Stent thrombosis during COVID‐19 pandemic: A case series |
| title_full | Stent thrombosis during COVID‐19 pandemic: A case series |
| title_fullStr | Stent thrombosis during COVID‐19 pandemic: A case series |
| title_full_unstemmed | Stent thrombosis during COVID‐19 pandemic: A case series |
| title_short | Stent thrombosis during COVID‐19 pandemic: A case series |
| title_sort | stent thrombosis during covid 19 pandemic a case series |
| topic | cardiovascular disease COVID‐19 in‐stent restenosis |
| url | https://doi.org/10.1002/ccr3.5872 |
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