Late thrombosis following treatment of in-stent restenosis with drug-eluting stents after discontinuation of antiplatelet therapy
- 1 August 2005
- journal article
- case report
- Published by Wiley in Catheterization and Cardiovascular Interventions
- Vol. 65 (4) , 520-524
- https://doi.org/10.1002/ccd.20428
Abstract
Drug-eluting stent usage has become commonplace for the percutaneous treatment of de novo coronary lesions, but the safety and efficacy profile for their evolving usage in restenotic lesions is largely unknown. We report three cases of angiographically confirmed drug-eluting stent thrombosis following treatment of restenotic lesions that occurred late (193, 237, and 535 days) and shortly after interruption of antiplatelet therapy. All three patients suffered ST elevation myocardial infarction, and there was one death. Further studies are necessary to better define the associated risk and ideal duration of antiplatelet therapy necessary in this cohort of patients with restenotic lesions.Keywords
This publication has 25 references indexed in Scilit:
- Clinical outcomes for sirolimus-eluting stent implantation and vascular brachytherapy for the treatment of in-stent restenosisCatheterization and Cardiovascular Interventions, 2004
- Cutting balloon versus conventional balloon angioplasty for the treatment of in-stent restenosisJournal of the American College of Cardiology, 2004
- Sirolimus-Eluting Stents versus Standard Stents in Patients with Stenosis in a Native Coronary ArteryNew England Journal of Medicine, 2003
- Time Course of Stent Endothelialization After Intravascular Radiation Therapy in Rabbit Iliac ArteriesCirculation, 2003
- The outcome of percutaneous coronary intervention in patients with In-Stentrestenosis who failed intracoronary radiation therapyJournal of the American College of Cardiology, 2003
- Sirolimus-eluting stent for treatment of complex in-stent restenosisJournal of the American College of Cardiology, 2003
- TAXUS ICirculation, 2003
- Sirolimus-Eluting Stent for the Treatment of In-Stent RestenosisCirculation, 2003
- Rotational Atherectomy Does Not Reduce Recurrent In-Stent RestenosisCirculation, 2002
- ACC/AHA guidelines for percutaneous coronary intervention (revision of the 1993 PTCA guidelines): A report of the American College of Cardiology/ American Heart Association Task Force on practice guidelines (Committee to revise the 1993 guidelines for percutaneous transluminal coronary angioplasty) endorsed by the Society for Cardiac Angiography and InterventionsJournal of the American College of Cardiology, 2001