Skip to main content
Top
Published in: Cardiovascular Intervention and Therapeutics 2/2017

01-04-2017 | Case Report

A case of subacute stent thrombosis after drug-coated balloon coronary angioplasty for in-stent restenosis under single anti-platelet therapy

Authors: Yuzo Kagawa, Nobuo Shiode, Tomoharu Kawase, Hiromichi Tamekiyo, Tomokazu Okimoto, Yasuhiko Hayashi

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2017

Login to get access

Abstract

This report describes a case of subacute stent thrombosis (SAT) after drug-coated balloon (DCB). A 79-year-old male was investigated for stable angina. An in-stent restenosis (ISR) lesion was detected by coronary angiography. A skin reaction related to the anti-platelet agent thienopyridine was also observed at this time. Therefore, DCB was used to treat the ISR lesion under single anti-platelet therapy (aspirin). However, 3 days after percutaneous coronary intervention, SAT occurred. OCT did not reveal the underlying cause of SAT. Further data are needed to clarify the optimal duration of dual anti-platelet therapy after DCB.
Literature
1.
go back to reference Scheller B, Clever YP, Kelsch B, Hehrlein C, Bocksch W, et al. Long-term follow-up after treatment of coronary in-stent restenosis with a paclitaxel-coated balloon catheter. JACC Cardiovasc Interv. 2012;5(3):323–30.CrossRefPubMed Scheller B, Clever YP, Kelsch B, Hehrlein C, Bocksch W, et al. Long-term follow-up after treatment of coronary in-stent restenosis with a paclitaxel-coated balloon catheter. JACC Cardiovasc Interv. 2012;5(3):323–30.CrossRefPubMed
2.
go back to reference Rittger H, Brachmann J, Sinha AM, Waliszewski M, Ohlow M, et al. A randomized, multicenter, single-blinded trial comparing paclitaxel-coated balloon angioplasty with plain balloon angioplasty in drug-eluting stent restenosis: the PEPCAD-DES study. J Am Coll Cardiol. 2012;59(15):1377–82.CrossRefPubMed Rittger H, Brachmann J, Sinha AM, Waliszewski M, Ohlow M, et al. A randomized, multicenter, single-blinded trial comparing paclitaxel-coated balloon angioplasty with plain balloon angioplasty in drug-eluting stent restenosis: the PEPCAD-DES study. J Am Coll Cardiol. 2012;59(15):1377–82.CrossRefPubMed
3.
go back to reference Habara S, Mitsudo K, Kadota K, Goto T, Fujii S, et al. Effectiveness of paclitaxel-eluting balloon catheter in patients with sirolimus-eluting stent restenosis. JACC Cardiovasc Interv. 2011;4(2):149–54.CrossRefPubMed Habara S, Mitsudo K, Kadota K, Goto T, Fujii S, et al. Effectiveness of paclitaxel-eluting balloon catheter in patients with sirolimus-eluting stent restenosis. JACC Cardiovasc Interv. 2011;4(2):149–54.CrossRefPubMed
4.
go back to reference Kolh P, Windecker S, Alfonso F, Collet JP, Cremer J, et al. 2014 ESC/EACTS guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur J Cariothorac Surg. 2014;46(4):517–92.CrossRef Kolh P, Windecker S, Alfonso F, Collet JP, Cremer J, et al. 2014 ESC/EACTS guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur J Cariothorac Surg. 2014;46(4):517–92.CrossRef
5.
go back to reference Joner M, Byrne RA, Lapointe JM, Radke PW, Bayer G, Steigerwald K, et al. Comparative assessment of drug-eluting balloons in an advanced porcine model of coronary restenosis. Thromb Haemost. 2011;105:864–72.CrossRefPubMed Joner M, Byrne RA, Lapointe JM, Radke PW, Bayer G, Steigerwald K, et al. Comparative assessment of drug-eluting balloons in an advanced porcine model of coronary restenosis. Thromb Haemost. 2011;105:864–72.CrossRefPubMed
6.
go back to reference Gao S, Sheb J, Mukku VK, Wang MJ, Akhtar M, et al. Efficacy of drug-eluting balloons for patients with in-stent restenosis: a meta-analysis of 8 randomized controlled trials. Angiology. 2015;0003319715611826. Gao S, Sheb J, Mukku VK, Wang MJ, Akhtar M, et al. Efficacy of drug-eluting balloons for patients with in-stent restenosis: a meta-analysis of 8 randomized controlled trials. Angiology. 2015;0003319715611826.
7.
go back to reference Zeymer U, Waliszewski M, Spiecker M, Gastmann O, Faurie B, Ferrari M, et al. Prospective ‘real world’ registry for the use of the ‘PCB only’ strategy in small vessel de novo lesions. Heart. 2014;100:311–6.CrossRefPubMed Zeymer U, Waliszewski M, Spiecker M, Gastmann O, Faurie B, Ferrari M, et al. Prospective ‘real world’ registry for the use of the ‘PCB only’ strategy in small vessel de novo lesions. Heart. 2014;100:311–6.CrossRefPubMed
8.
go back to reference Edouard C, Laurent L, Gary SM, Jun-ichi Augusto DP, Lowell FS, et al. Predictors of subacute stent thrombosis results of a systematic intravascular ultrasound study. Circulation. 2003;108:43–7.CrossRef Edouard C, Laurent L, Gary SM, Jun-ichi Augusto DP, Lowell FS, et al. Predictors of subacute stent thrombosis results of a systematic intravascular ultrasound study. Circulation. 2003;108:43–7.CrossRef
9.
go back to reference Stähli BE, Camici GG, Steffel J, Akhmedov A, Shojaati K, et al. Paclitaxel enhances thrombin-induced endothelial tissue factor expression via c-Jun terminal NH2 kinase activation. Circ Res. 2006;99(2):149–55.CrossRefPubMed Stähli BE, Camici GG, Steffel J, Akhmedov A, Shojaati K, et al. Paclitaxel enhances thrombin-induced endothelial tissue factor expression via c-Jun terminal NH2 kinase activation. Circ Res. 2006;99(2):149–55.CrossRefPubMed
10.
go back to reference Zhang S, Sun C, Hu H, He Y, Yao Y et al. Effects of paclitaxel on the ability of aspirin and clopidogrel to inhibit platelet aggregation. Clin Appl Thromb Hemost. 2015;1076029615576740. Zhang S, Sun C, Hu H, He Y, Yao Y et al. Effects of paclitaxel on the ability of aspirin and clopidogrel to inhibit platelet aggregation. Clin Appl Thromb Hemost. 2015;1076029615576740.
11.
go back to reference Byrne RA, Neumann FJ, Mehilli J, Pinieck S, Wolff B, et al. Paclitaxel-eluting balloons, paclitaxel-eluting stents, and balloon angioplasty in patients with restenosis after implantation of a drug-eluting stent (ISAR-DESIRE 3): a randomised, open-label trial. Lancet. 2013;381(9865):461–7.CrossRefPubMed Byrne RA, Neumann FJ, Mehilli J, Pinieck S, Wolff B, et al. Paclitaxel-eluting balloons, paclitaxel-eluting stents, and balloon angioplasty in patients with restenosis after implantation of a drug-eluting stent (ISAR-DESIRE 3): a randomised, open-label trial. Lancet. 2013;381(9865):461–7.CrossRefPubMed
12.
go back to reference Tannenbaum SH, Finko R, Cines DB. Antibody and immune complexes induce tissue factor production by human endothelial cells. J Immunol. 1986;137:1532–7.PubMed Tannenbaum SH, Finko R, Cines DB. Antibody and immune complexes induce tissue factor production by human endothelial cells. J Immunol. 1986;137:1532–7.PubMed
Metadata
Title
A case of subacute stent thrombosis after drug-coated balloon coronary angioplasty for in-stent restenosis under single anti-platelet therapy
Authors
Yuzo Kagawa
Nobuo Shiode
Tomoharu Kawase
Hiromichi Tamekiyo
Tomokazu Okimoto
Yasuhiko Hayashi
Publication date
01-04-2017
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 2/2017
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-016-0386-0

Other articles of this Issue 2/2017

Cardiovascular Intervention and Therapeutics 2/2017 Go to the issue