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"Very" Very Late Stent Thrombosis: A Detailed Look at Two Cases.
Pingili, Adhvithi; Rao, Shiavax J; Khalid, Taha; Wang, John; Kaliyadan, Antony.
Afiliación
  • Pingili A; Internal Medicine, MedStar Union Memorial Hospital, Baltimore, USA.
  • Rao SJ; Internal Medicine, MedStar Union Memorial Hospital, Baltimore, USA.
  • Khalid T; Hospital Medicine, St. Mary's Medical Center, Huntington, USA.
  • Wang J; Interventional Cardiology, MedStar Union Memorial Hospital, Baltimore, USA.
  • Kaliyadan A; Interventional Cardiology, MedStar Union Memorial Hospital, Baltimore, USA.
Cureus ; 16(6): e61914, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38978940
ABSTRACT
Although percutaneous coronary intervention (PCI) has radically transformed the scope of treating coronary artery disease with stenting, stent thrombosis (STh) remains a feared complication. Very late STh, a rare complication after PCI, refers to STh occurring greater than one year after post-stent implantation. An even rarer phenomenon, "very" very late stent thrombosis (VVLST), is described in the literature as STh occurring more than five years post-stent implantation. To our knowledge, there are only 10 case reports and one case series describing VVLST. We discuss two additional complex clinical cases of VVLST presenting as ST-elevation myocardial infarction. We highlight epidemiology, pathophysiology, presentation, diagnostic methods, treatment approach, associated complications, and the need for more extensive future work to minimize the risk of VVLST.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos