Abstract
Very late stent thrombosis (VLST) is increasingly being regarded as a complication of drug-eluting stents (DES), and delayed endothelization, local hypersensitivity reactions, and late stent malapposition due to excessive positive remodeling have been postulated as mechanisms. Considering that stent endothelialization seems to be completed within 4 weeks following bare-metal stent (BMS) placement and that BMS do not possess antiproliferative coating, the mechanism of VLST may differ between patients with DES and those with BMS. We report a case of VLST 9 years after BMS implantation, in which thrombus from the ruptured neointima was confirmed by intravascular ultrasound. This finding suggests that de novo plaque rupture at the neointimal layer within the stent may be one of the explanations for VLST.
| Original language | English |
|---|---|
| Pages (from-to) | 1658-1660 |
| Number of pages | 3 |
| Journal | Chinese Medical Journal |
| Volume | 125 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - 2012 Jul 5 |
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All Science Journal Classification (ASJC) codes
- Medicine(all)
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Intravascular ultrasound assessment of very late bare-metal stent thrombosis : A case report. / Lee, Ji Hyun; Kim, Kyung Min; Lee, Junwon; Ahn, Sung Gyun; Youn, Youngjin.
In: Chinese Medical Journal, Vol. 125, No. 9, 05.07.2012, p. 1658-1660.Research output: Contribution to journal › Article
TY - JOUR
T1 - Intravascular ultrasound assessment of very late bare-metal stent thrombosis
T2 - A case report
AU - Lee, Ji Hyun
AU - Kim, Kyung Min
AU - Lee, Junwon
AU - Ahn, Sung Gyun
AU - Youn, Youngjin
PY - 2012/7/5
Y1 - 2012/7/5
N2 - Very late stent thrombosis (VLST) is increasingly being regarded as a complication of drug-eluting stents (DES), and delayed endothelization, local hypersensitivity reactions, and late stent malapposition due to excessive positive remodeling have been postulated as mechanisms. Considering that stent endothelialization seems to be completed within 4 weeks following bare-metal stent (BMS) placement and that BMS do not possess antiproliferative coating, the mechanism of VLST may differ between patients with DES and those with BMS. We report a case of VLST 9 years after BMS implantation, in which thrombus from the ruptured neointima was confirmed by intravascular ultrasound. This finding suggests that de novo plaque rupture at the neointimal layer within the stent may be one of the explanations for VLST.
AB - Very late stent thrombosis (VLST) is increasingly being regarded as a complication of drug-eluting stents (DES), and delayed endothelization, local hypersensitivity reactions, and late stent malapposition due to excessive positive remodeling have been postulated as mechanisms. Considering that stent endothelialization seems to be completed within 4 weeks following bare-metal stent (BMS) placement and that BMS do not possess antiproliferative coating, the mechanism of VLST may differ between patients with DES and those with BMS. We report a case of VLST 9 years after BMS implantation, in which thrombus from the ruptured neointima was confirmed by intravascular ultrasound. This finding suggests that de novo plaque rupture at the neointimal layer within the stent may be one of the explanations for VLST.
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UR - http://www.scopus.com/inward/citedby.url?scp=84863221178&partnerID=8YFLogxK
U2 - 10.3760/cma.j.issn.0366-6999.2012.09.025
DO - 10.3760/cma.j.issn.0366-6999.2012.09.025
M3 - Article
VL - 125
SP - 1658
EP - 1660
JO - Chinese Medical Journal
JF - Chinese Medical Journal
SN - 0366-6999
IS - 9
ER -