Taner ŞEN, Tolga AKSU, Ümit GÜRAY, Kazım BAŞER, Mine DURUKAN KOŞAR

Very late thrombosis of a bare metal stent despite ongoing aspirin therapy after 10 years of implantation

Çok geç stent trombozu ilaç kaplı stentlerin iyi bilinen bir komplikasyonudur. Çıplak metal stentile ilişkili bilinen geç stent trombozu riski çok düşüktür. Bu vakada çıplak metal stentin çok geçtrombozuna (>10 yıl) bağlı akut inferiyor miyokard infarktüsü tanısı konulan 60 yaşında bir erkekhastayı sunduk. İntrakoroner trombüs aspirasyonu yapıldı ve koroner arterden trombüsüntemizlenmesi ile TIMI 3 akım elde edildi. Çok geç stent trombozu çıplak metal stentlerin çok nadirbir komplikasyonudur. Bu vaka ile biz devam eden aspirin tedavisine rağmen çıplak metal stent ileçok geç stent trombozu olasılığını vurgulamak istedik.

Devameden aspirin tedavisine rağmen yerleştirilmesinden 10 yıl sonra çıplak metal stentin oldukça geç trombozu

Late stent thrombosis is a well-known complication of drug eluting stents. The recognized risk oflate stent thrombosis associated with bare metal stents is too low. In this report, we present a 60year old male patient who had an acute inferior myocardial infarction due to very late thrombosis(>10 years) of a bare metal stent. Intracoronary thrombus aspiration was performed and thrombuswas extracted from the coronary artery with subsequent restoration of TIMI 3 distal flow. Verylate stent thrombosis is an extremely rare complication of bare metal stents. With this case reportwe would like to emphasize the possibility of very late stent thrombosis with bare metal stentdespite ongoing aspirin therapy.

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