Published in:
01-04-2015 | Case Report
Extremely late (7 years) paclitaxel-eluting stent thrombosis
Authors:
J. A. Linares Vicente, J. R. Ruiz Arroyo, B. Simó Sánchez, A. Lukic, P. Revilla Martí
Published in:
Cardiovascular Intervention and Therapeutics
|
Issue 2/2015
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Excerpt
In the last decade percutaneous coronary interventions (PCI) with drug-eluting stents (DES) have reduced significantly restenosis rates. Therefore, DES have become the standard of care and most widely used for the treatment of atherosclerotic coronary artery disease [
1]. Very late stent thrombosis (VLST), defined as stent thrombosis at the site of PCI 1 year after stent deployment by the Academic Research Consortium, has been recognized as a DES implantation complication [
2]. It has been related to delayed arterial healing and positive vessel remodelling, leading to late-acquired stent malapposition and incomplete reendothelization [
3,
4]. Second-generation DES are associated with lower rates of stent thrombosis [
5], but VLST up to 5 years has been widely described in first-generation DES (sirolimus and paclitaxel DES) [
6‐
8], and even extremely cases (7–8 years) have been communicated with sirolimus DES (SES) implantation after antiplatelet therapy cessation [
9,
10]. Nevertheless, extremely VLST related to paclitaxel DES (PES), even on aspirin treatment, has not been previously described. This report presents a case of definite and extremely VLST 7 years after a PES deployment at culprit lesion for acute myocardial infarction (AMI). …