A Case of Stent Fracture and Very Late Stent Thrombosis 15 Months after Drug-Eluting Stent Implantation

BACKGROUND AND OBJECTIVE: Stent fracture (SF), in peripheral vessels and although in coronary arteries has been reported. Very late and after one year stent thrombosis in drug eluting stent (DES) is a rare phenomenon and its most frequent cause is discontinuation of clopidogrel. Considering SF and s...

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Main Authors: A Ghaemian, M Saravi
Format: Article
Language:English
Published: Babol University of Medical Sciences 2009-12-01
Series:Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
Subjects:
Online Access:http://jbums.org/article-1-3366-en.html
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author A Ghaemian,
M Saravi
author_facet A Ghaemian,
M Saravi
author_sort A Ghaemian,
collection DOAJ
description BACKGROUND AND OBJECTIVE: Stent fracture (SF), in peripheral vessels and although in coronary arteries has been reported. Very late and after one year stent thrombosis in drug eluting stent (DES) is a rare phenomenon and its most frequent cause is discontinuation of clopidogrel. Considering SF and stent thrombosis occurring together could result in lethal cardiac events its recognition has considerable importance. This report presents a case of stent fracture and very late stent thrombosis.CASE: In this report a 59-year-old male patient was presented for whom coronary angiography and angioplasty were performed. We put a stent for him. While he was in good condition until 15 months after angioplasty, he was suddenly presented with chest pain and cardiac arrest and was admitted in the hospital. His life was saved with DC shock. Repeat coronary angiography was performed for him which showed SF accompanied by thrombosis as the cause of acute myocardial infarction.CONCLUSION: Stent thrombosis may occur lately after DES and although it is rare, one of its causes is SF and the clinical presentation is usually dangerous and lethal.
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spelling doaj.art-99a9bb35ccf44beb832b679a6f8bc9412022-12-21T19:53:50ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702009-12-011157680A Case of Stent Fracture and Very Late Stent Thrombosis 15 Months after Drug-Eluting Stent ImplantationA Ghaemian,0M Saravi1 BACKGROUND AND OBJECTIVE: Stent fracture (SF), in peripheral vessels and although in coronary arteries has been reported. Very late and after one year stent thrombosis in drug eluting stent (DES) is a rare phenomenon and its most frequent cause is discontinuation of clopidogrel. Considering SF and stent thrombosis occurring together could result in lethal cardiac events its recognition has considerable importance. This report presents a case of stent fracture and very late stent thrombosis.CASE: In this report a 59-year-old male patient was presented for whom coronary angiography and angioplasty were performed. We put a stent for him. While he was in good condition until 15 months after angioplasty, he was suddenly presented with chest pain and cardiac arrest and was admitted in the hospital. His life was saved with DC shock. Repeat coronary angiography was performed for him which showed SF accompanied by thrombosis as the cause of acute myocardial infarction.CONCLUSION: Stent thrombosis may occur lately after DES and although it is rare, one of its causes is SF and the clinical presentation is usually dangerous and lethal.http://jbums.org/article-1-3366-en.htmlstent thrombosismyocardial infarctionstent fracture
spellingShingle A Ghaemian,
M Saravi
A Case of Stent Fracture and Very Late Stent Thrombosis 15 Months after Drug-Eluting Stent Implantation
Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
stent thrombosis
myocardial infarction
stent fracture
title A Case of Stent Fracture and Very Late Stent Thrombosis 15 Months after Drug-Eluting Stent Implantation
title_full A Case of Stent Fracture and Very Late Stent Thrombosis 15 Months after Drug-Eluting Stent Implantation
title_fullStr A Case of Stent Fracture and Very Late Stent Thrombosis 15 Months after Drug-Eluting Stent Implantation
title_full_unstemmed A Case of Stent Fracture and Very Late Stent Thrombosis 15 Months after Drug-Eluting Stent Implantation
title_short A Case of Stent Fracture and Very Late Stent Thrombosis 15 Months after Drug-Eluting Stent Implantation
title_sort case of stent fracture and very late stent thrombosis 15 months after drug eluting stent implantation
topic stent thrombosis
myocardial infarction
stent fracture
url http://jbums.org/article-1-3366-en.html
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