A rare mechanism of very late bare metal stent thrombosi: role of optical coherence imaging in its evaluation and management

Subban, Vijayakumar, Bell, Brendan, Raffel, Owen Christopher, Small, Andrew, Savage, Michael, Incani, Alexander and Walters, Darren L. (2014) A rare mechanism of very late bare metal stent thrombosi: role of optical coherence imaging in its evaluation and management. Heart, Lung and Circulation, 23 2: 190-192. doi:10.1016/j.hlc.2013.04.120


Author Subban, Vijayakumar
Bell, Brendan
Raffel, Owen Christopher
Small, Andrew
Savage, Michael
Incani, Alexander
Walters, Darren L.
Title A rare mechanism of very late bare metal stent thrombosi: role of optical coherence imaging in its evaluation and management
Journal name Heart, Lung and Circulation   Check publisher's open access policy
ISSN 1443-9506
1444-2892
Publication date 2014-02
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.hlc.2013.04.120
Open Access Status
Volume 23
Issue 2
Start page 190
End page 192
Total pages 3
Place of publication Chatswood, NSW, Australia
Publisher Elsevier
Collection year 2014
Language eng
Abstract Very late stent thrombosis is an uncommon event following implantation with bare metal stents (BMS) in coronary arteries. Long term follow up studies have shown that a small number of BMS develop very late thrombosis following years of stability. Atherosclerotic transformation of neointimal tissue is increasingly being recognised as the cause of these adverse events. A 49 year-old male presented with acute inferior wall myocardial infarction resulting from thrombosis of the BMS implanted in his right coronary artery five years earlier. He was successfully thrombolysed and his coronary angiogram showed mild diffuse instent restenosis. The intravascular optical coherence tomography revealed instent neoatherosclerotic plaque rupture without any flow limiting stenosis as the likely culprit event.
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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