Late stent thrombosis after paclitaxel-eluting stent implantation [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2007; 35(2): 97-100

Late stent thrombosis after paclitaxel-eluting stent implantation

Bilal Boztosun1, Ayhan Olcay2, Ramazan Kargın1, Cevat Kırma1
1Kosuyolu Heart Education And Research Hospital, Depatment Of Cardiology, Istanbul, Turkey
2Medicana Hospitals Avcilar, Department Of Cardiology, Istanbul, Turkey

Drug-eluting stents are widely used in the treatment of coronary artery disease, but late stent thrombosis is still a concern. A 54-year-old male patient who presented with unstable angina pectoris underwent paclitaxel-eluting stent implantation for 90% stenosis in the right coronary artery (RCA). He was asymptomatic during follow-up and clopidogrel was discontinued 13 months after the procedure. However, 17 months after stent implantation he presented with acute inferior myocardial infarction. Coronary angiography revealed total in-stent thrombosis in the RCA. Thrombotic occlusion was easily passed with a floppy guide wire and balloon angioplasty was successful resulting in TIMI II-III flow. The patient was asymptomatic during hospital stay and was discharged on appropriate medications.

Keywords: Coronary disease, coronary thrombosis/etiology, paclitaxel, stents/adverse effects

How to cite this article
Bilal Boztosun, Ayhan Olcay, Ramazan Kargın, Cevat Kırma. Late stent thrombosis after paclitaxel-eluting stent implantation. Turk Kardiyol Dern Ars. 2007; 35(2): 97-100

Corresponding Author: Bilal Boztosun, Türkiye
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