Very Late Stent Thrombosis Complicating Immune Thrombocytopenia

Immune thrombocytopenia (ITP) carries bleeding and thrombotic risks; however, thromboses associated with ITP have not been histologically examined. This report presents optical coherence tomography images of the culprit lesion and histology of coronary aspirates in very late stent thrombosis complic...

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Main Authors: Hisanobu Shimazu, MD, Yunosuke Matsuura, MD, PhD, Kohei Moribayashi, MD, Toshihiro Gi, MD, PhD, Yosuke Suiko, MD, Hiroki Tanaka, MD, Soichi Komaki, MD, Tetsunori Ishikawa, MD, PhD, Atsushi Yamashita, MD, PhD, Koichi Kaikita, MD, PhD
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084923003492
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author Hisanobu Shimazu, MD
Yunosuke Matsuura, MD, PhD
Kohei Moribayashi, MD
Toshihiro Gi, MD, PhD
Yosuke Suiko, MD
Hiroki Tanaka, MD
Soichi Komaki, MD
Tetsunori Ishikawa, MD, PhD
Atsushi Yamashita, MD, PhD
Koichi Kaikita, MD, PhD
author_facet Hisanobu Shimazu, MD
Yunosuke Matsuura, MD, PhD
Kohei Moribayashi, MD
Toshihiro Gi, MD, PhD
Yosuke Suiko, MD
Hiroki Tanaka, MD
Soichi Komaki, MD
Tetsunori Ishikawa, MD, PhD
Atsushi Yamashita, MD, PhD
Koichi Kaikita, MD, PhD
author_sort Hisanobu Shimazu, MD
collection DOAJ
description Immune thrombocytopenia (ITP) carries bleeding and thrombotic risks; however, thromboses associated with ITP have not been histologically examined. This report presents optical coherence tomography images of the culprit lesion and histology of coronary aspirates in very late stent thrombosis complicating severe ITP, providing evidence of platelet-rich thrombus formation. (Level of Difficulty: Advanced.)
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spelling doaj.art-4c1bab9a20df42fda6b249d94017db4f2023-09-13T04:25:32ZengElsevierJACC: Case Reports2666-08492023-10-0124102017Very Late Stent Thrombosis Complicating Immune ThrombocytopeniaHisanobu Shimazu, MD0Yunosuke Matsuura, MD, PhD1Kohei Moribayashi, MD2Toshihiro Gi, MD, PhD3Yosuke Suiko, MD4Hiroki Tanaka, MD5Soichi Komaki, MD6Tetsunori Ishikawa, MD, PhD7Atsushi Yamashita, MD, PhD8Koichi Kaikita, MD, PhD9Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan; Address for correspondence: Dr Yunosuke Matsuura, Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, Japan.Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanDepartment of Pathology, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanDepartment of Pathology, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, JapanImmune thrombocytopenia (ITP) carries bleeding and thrombotic risks; however, thromboses associated with ITP have not been histologically examined. This report presents optical coherence tomography images of the culprit lesion and histology of coronary aspirates in very late stent thrombosis complicating severe ITP, providing evidence of platelet-rich thrombus formation. (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084923003492drug-eluting stentimmune thrombocytopeniathrombopoietin receptor agonistvery late stent thrombosis
spellingShingle Hisanobu Shimazu, MD
Yunosuke Matsuura, MD, PhD
Kohei Moribayashi, MD
Toshihiro Gi, MD, PhD
Yosuke Suiko, MD
Hiroki Tanaka, MD
Soichi Komaki, MD
Tetsunori Ishikawa, MD, PhD
Atsushi Yamashita, MD, PhD
Koichi Kaikita, MD, PhD
Very Late Stent Thrombosis Complicating Immune Thrombocytopenia
JACC: Case Reports
drug-eluting stent
immune thrombocytopenia
thrombopoietin receptor agonist
very late stent thrombosis
title Very Late Stent Thrombosis Complicating Immune Thrombocytopenia
title_full Very Late Stent Thrombosis Complicating Immune Thrombocytopenia
title_fullStr Very Late Stent Thrombosis Complicating Immune Thrombocytopenia
title_full_unstemmed Very Late Stent Thrombosis Complicating Immune Thrombocytopenia
title_short Very Late Stent Thrombosis Complicating Immune Thrombocytopenia
title_sort very late stent thrombosis complicating immune thrombocytopenia
topic drug-eluting stent
immune thrombocytopenia
thrombopoietin receptor agonist
very late stent thrombosis
url http://www.sciencedirect.com/science/article/pii/S2666084923003492
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