ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Late stent thrombosis after paclitaxel-eluting stent placement in a patient with essential thrombocytosis [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2010; 38(8): 558-560

Late stent thrombosis after paclitaxel-eluting stent placement in a patient with essential thrombocytosis

Talat Keleş, Nihal Akar Bayram, Tahir Durmaz, Engin Bozkurt
Department of Cardiology, Ankara Atatürk Education and Research Hospital, Ankara, Turkey

We report on a case of late stent thrombosis after drug-eluting stent placement in a patient with essential thrombocytosis. A 51-year-old male patient with a three-month history of paclitaxel-eluting stent placement to the left anterior descending artery presented with a complaint of severe retrosternal chest pain. A high platelet count (1,063,000/mm3) was detected two months prior to presentation, which was interpreted as essential thrombocytosis. He was on standard dual antiplatelet therapy (aspirin and clopidogrel). The electrocardiogram showed ST-segment elevation in leads V1-V6. Emergent coronary angiography revealed thrombotic total occlusion at the location of the paclitaxel-eluting stent. Balloon angioplasty was performed yielding a satisfactory result and TIMI 3 flow. Following the procedure, there was no chest pain. His platelet count was 388,000/mm3. He was discharged on medical therapy following an uneventful hospital course. Patients with essential thrombocytosis may not be eligible for drug-eluting stent placement.

Keywords: Angioplasty, balloon, coronary, paclitaxel; stents; thrombocythemia, essential/complications; thrombosis/etiology

How to cite this article
Talat Keleş, Nihal Akar Bayram, Tahir Durmaz, Engin Bozkurt. Late stent thrombosis after paclitaxel-eluting stent placement in a patient with essential thrombocytosis. Turk Kardiyol Dern Ars. 2010; 38(8): 558-560

Corresponding Author: Nihal Akar Bayram, Türkiye
Manuscript Language: English


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