Fatal late coronary thrombosis after implantation of a radioactive stent: Postmortem angiographic and histologic findings - Case report

Department of Cardiology, Clinic for Internal Medicine II, University of Vienna, Währinger Gürtel 18-20, A-1090 Vienna, Austria.
Radiology (Impact Factor: 6.87). 08/2001; 220(1):142-4. DOI: 10.1148/radiology.220.1.r01jl19142
Source: PubMed


Postmortem angiography and histologic analysis of a fatal coronary thrombosis 4 months after implantation of a radioactive stent are described. Histologic findings suggested incomplete re-endothelialization in the segment with the stent. Ionizing radiation may delay re-endothelialization after revascularization, thus maintaining the thrombogenicity of the irradiated vessel segment. Thus, prolonged antiplatelet therapy should be considered after intravascular radiation therapy.

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