In-stent thrombosis after 68 months of implantation inspite of continuous dual antiplatelet therapy: A case report

Department of Medicine, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY-10305, USA. .
Cases Journal 02/2010; 3(1):68. DOI: 10.1186/1757-1626-3-68
Source: PubMed


Lately, there has been an increased incidence of late stent thrombosis; especially following Drug eluting stent (DES) implantation. Several factors are associated with an increased risk of stent thrombosis, including the procedure itself, patient and lesion characteristics, stent design, and premature cessation of anti-platelet drugs. We present a case of late stent thrombosis (LST) following DES implantation after a period of 68 months, making it the longest reported case of LST reported in the literature, despite the use of dual anti-platelet therapy.

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    • "To prevent stent thrombosis in DES, current guidelines recommend up to 1 year of dual anti-platelet therapy [4]. Nevertheless, DESs still have been criticized for events of stent thrombosis occurring anywhere from 1 to 5 years after implantation [5–9]. Especially, many results have been reported on an increased risk of very late stent thrombosis with DES [10,11]. "
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