Mustafa Adem TATLISU, Serhan ÖZCAN, Mehmet KARACA, Mehmet EREN, Ahmet ZENGİN, Emre ARUĞASLAN

A case report of very late stent thrombosis after bare-metal stent implantation

Güncel stent konseptleri ve antiplatelet tedavilerine rağmen stent trombozu perkütan koronergirişimlerden sonra görülen arzu edilmeyen bir komplikasyondur. Stent trombozu, AcademicResearch Concortiuma göre erken (1 yıl) olmak üzere üçe ayrılmıştır. Gecikmiş endotelizasyona bağlı olarak çok geç dönem stenttrombozları ilaç kaplı stentlerde daha fazla görülmektedir. Hastamız çıplak metal kaplı stentimplantasyonundan 14 yıl sonra stent trombozuna bağlı ST elevasyonlu myokard infarktüsü ilebaşvurmuştur.

Çıp lak metal stent imp lantasyonu sonrası gelişen çok geç dönem stent trombozu

Stent thrombosis is undesirable complication after percutaneous coronary interventions (PCI),despite contemporary concepts of stents and antiplatelet therapy. Stent thrombosis (ST) is definedby the Academic Research Concortium as: early (1 year). Risk of very late stent thrombosis is considerably higher in patients with drug-elutingstents (DES), owing to delayed endothelialization. There are several cases very late ST after bare- metal stent (BMS) implantation. Our patient presented with ST-elevation myocardial infarction onaccount of BMS thrombosis 14 years after the implantation.

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