Acute Coronary Syndrome after 17 Years of Bare Metal Stent Implantation: “Very” Very Late Stent Thrombosis
Keyword(s):
Very late stent thrombosis (VLST) is a catastrophic and life-threatening complication after percutaneous coronary intervention which presents as an acute coronary syndrome with significantly high mortality and morbidity. VLST is a rare entity with drug-eluting stents and even rarer with bare metal stents. The exact pathophysiologic mechanism of VLST after BMS implantation is not known although various mechanisms have been proposed. Recently, in-stent neoatherosclerosis with intimal plaque rupture has been proposed as a potential mechanism of VLST after BMS. We report a rare case of VLST occurring 17 years after BMS implantation with angiographic and intravascular imaging evidence which provides insight into the mechanisms of VLST.
2010 ◽
Vol 56
(13)
◽
pp. B12
2010 ◽
Vol 56
(13)
◽
pp. B84
2007 ◽
Vol 70
(2)
◽
pp. 229-232
◽
Keyword(s):
2012 ◽
Vol 60
(7)
◽
pp. e11
Keyword(s):
Keyword(s):
Keyword(s):
2011 ◽
Vol 26
(3)
◽
pp. 252-259
◽
2017 ◽
Vol 69
(16)
◽
pp. S83
Keyword(s):
Keyword(s):