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Very late stent thrombosis after sirolimus-eluting stent implantation: evaluation by intravascular ultrasound and optical coherence tomography

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Abstract

A 58-year-old man was admitted to our hospital with acute anterior myocardial infarction that occurred 4 years after single sirolimus-eluting stent (SES) implantation in the left anterior descending artery. He had been undergoing continuous dual antiplatelet therapy. Emergency coronary angiography showed total thrombotic occlusion and peri-stent contrast staining at the SES site. The lesion was evaluated using intravascular ultrasound (IVUS) and optical coherence tomography (OCT) after thrombectomy. Vessel remodeling was detected on IVUS, and multiple interstrut hollows and thrombi were observed on OCT. These findings were associated with very late stent thrombosis after SES implantation.

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Authors and Affiliations

  1. Department of Cardiology, Fukui Prefectural Hospital, Yotsui 2-8-1, Fukui, Fukui, 910-0846, Japan

    Tomohito Mabuchi, Susumu Fujino, Masato Yamaguchi, Yoshihiro Noji, Taro Ichise & Takahiko Aoyama

Authors
  1. Tomohito Mabuchi
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  2. Susumu Fujino
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  3. Masato Yamaguchi
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  4. Yoshihiro Noji
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  5. Taro Ichise
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  6. Takahiko Aoyama
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Correspondence to Tomohito Mabuchi.

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Mabuchi, T., Fujino, S., Yamaguchi, M. et al. Very late stent thrombosis after sirolimus-eluting stent implantation: evaluation by intravascular ultrasound and optical coherence tomography. Cardiovasc Interv and Ther 28, 388–393 (2013). https://doi.org/10.1007/s12928-013-0175-y

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  • DOI: https://doi.org/10.1007/s12928-013-0175-y

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