Mustafa Serkan KARAKAŞ, Fulya Avcı DEMİR, Veysel TOSUN, Refik Emre ALTEKİN, Cengiz ERMİŞ

Sirolimus salınımlı stent implantasyonundan çok uzun süre sonra gelişen koroner arter anevrizması

İlaç salınımlı stentler (İSS), yakın dönemde cerrahi girişim planlı ya da ikili antiplatelet tedaviyi uzun dönem kullanamayacak olan ve kanama riski yüksek hastalar haricinde çıplak stentlere üstündür. İSS kullanımı, düşük restenoz oranları nedeniyle giderek artmaktadır. Ancak İSS kullanımında gecikmiş endotelizasyon nedeniyle özellikle erken dönemde koroner arter anevrizması (KAA) gelişimine karşı dikkatli olunması gerektiği bildirilmektedir. Bu yazıda İSS uygulanmasından çok uzun süre sonra KAA gelişen bir olgu sunulmuştur

Very late development of coronary artery aneurysm with sirolimus eluting stent

Drug eluting stents (DES) are superior to bare metal stents except in patients scheduled surgery recently, high risk of bleeding and in patients cannot use long-term dual antiplatelet therapy. DESs are being used increasingly due to low rate of restenosis. However, especially in the early stage, it is reported that caution against the development of coronary artery aneurysm (CAA) is required because of delayed endothelialization with DES. In this case report, we present a case with very late development of CAA after DES implantation

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