Late drug-eluting stent thrombosis: importance of intravascular ultrasound

Cardiovascular Revascularization Medicine : Including Molecular Interventions
Andrew McCannRobert J Whitbourn

Abstract

We report two cases of late occurring drug-eluting stent thrombosis (ST) where coronary angiography failed to identify the cause but intravascular ultrasound (IVUS) revealed underlying mechanical problems with the initial stent deployment. Mechanical factors such as stent underexpansion and residual edge stenoses may be more important in the pathogenesis of late drug-eluting ST than previously recognized. Intravascular ultrasound is required to reliably detect these problems and optimize subsequent reintervention.

References

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Nov 21, 2007·Journal of the American College of Cardiology·Fernando AlfonsoCarlos Macaya
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Jul 16, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J Van der HeydenM J Suttorp

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Citations

Dec 24, 2011·Current Treatment Options in Cardiovascular Medicine·Julio F MarchiniKevin Croce
Apr 19, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ehrin J ArmstrongJason H Rogers
Oct 22, 2013·Expert Review of Cardiovascular Therapy·Florian N RiedeRaban Jeger

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