Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis
Very late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal s...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2020/9628719 |
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| author | Raghavendra Rao K S. Reddy J. R. Kashyap K. Vikas Hithesh Reddy Vadivelu Ramalingam |
| author_facet | Raghavendra Rao K S. Reddy J. R. Kashyap K. Vikas Hithesh Reddy Vadivelu Ramalingam |
| author_sort | Raghavendra Rao K |
| collection | DOAJ |
| description | Very late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal stents. The exact pathophysiologic mechanism of VLST after BMS implantation is not known although various mechanisms have been proposed. Recently, in-stent neoatherosclerosis with intimal plaque rupture has been proposed as a potential mechanism of VLST after BMS. We report a rare case of VLST occurring 17 years after BMS implantation with angiographic and intravascular imaging evidence which provides insight into the mechanisms of VLST. |
| format | Article |
| id | doaj-art-74d6eea5bc094c44869ef99329351661 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-74d6eea5bc094c44869ef993293516612025-02-03T01:26:58ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/96287199628719Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent ThrombosisRaghavendra Rao K0S. Reddy1J. R. Kashyap2K. Vikas3Hithesh Reddy4Vadivelu Ramalingam5Department of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Government Medical College and Hospital, Sector 32, Chandigarh 160030, IndiaDepartment of Cardiology, Velammal Medical College Hospital and Research Institute, Madurai 625009, IndiaVery late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal stents. The exact pathophysiologic mechanism of VLST after BMS implantation is not known although various mechanisms have been proposed. Recently, in-stent neoatherosclerosis with intimal plaque rupture has been proposed as a potential mechanism of VLST after BMS. We report a rare case of VLST occurring 17 years after BMS implantation with angiographic and intravascular imaging evidence which provides insight into the mechanisms of VLST.http://dx.doi.org/10.1155/2020/9628719 |
| spellingShingle | Raghavendra Rao K S. Reddy J. R. Kashyap K. Vikas Hithesh Reddy Vadivelu Ramalingam Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis Case Reports in Cardiology |
| title | Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis |
| title_full | Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis |
| title_fullStr | Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis |
| title_full_unstemmed | Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis |
| title_short | Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis |
| title_sort | acute coronary syndrome after 17 years of bare metal stent implantation very very late stent thrombosis |
| url | http://dx.doi.org/10.1155/2020/9628719 |
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