TY - JOUR
T1 - Simultaneous occlusion of left anterior descending and left circumflex arteries by very late stent thrombosis
T2 - vascular response to drug-eluting stents assessed by intravascular ultrasound
AU - Yamawaki, Masahiro
AU - Onuma, Yoshinobu
AU - Nakano, Masatsugu
AU - Muramatsu, Takashi
AU - Nakatani, Shimpei
AU - Ishibashi, Yuki
AU - Ishimori, Hiroshi
AU - Hirano, Keisuke
AU - Ito, Yoshiaki
AU - Tsukahara, Reiko
AU - Muramatsu, Toshiya
N1 - Publisher Copyright:
© 2014, Springer Japan.
PY - 2015/11/1
Y1 - 2015/11/1
N2 - Very late stent thrombosis (VLST) is a catastrophic complication after implantation of a drug-eluting stent (DES). It has been reported that VLST is associated with pathological changes, which often include late acquired incomplete stent apposition (LAISA) with thrombus formation. In addition, the vascular response to the stent (evaginations, neointimal growth, and thrombosis) and the incidence of LAISA are reported to vary among the different types of DES. We experienced a patient with cardiogenic shock induced by simultaneous VLST of both the left anterior descending artery (LAD) and the left circumflex artery (LCX) at 3 years after implantation of two sirolimus-eluting stents. Intravascular ultrasound (IVUS) showed LAISA of both arteries. A paclitaxel-eluting stent, which had been implanted in the right coronary artery 3 years earlier, did not show such a finding. IVUS revealed “different vascular reactions” to “different types of DES” in this patient.
AB - Very late stent thrombosis (VLST) is a catastrophic complication after implantation of a drug-eluting stent (DES). It has been reported that VLST is associated with pathological changes, which often include late acquired incomplete stent apposition (LAISA) with thrombus formation. In addition, the vascular response to the stent (evaginations, neointimal growth, and thrombosis) and the incidence of LAISA are reported to vary among the different types of DES. We experienced a patient with cardiogenic shock induced by simultaneous VLST of both the left anterior descending artery (LAD) and the left circumflex artery (LCX) at 3 years after implantation of two sirolimus-eluting stents. Intravascular ultrasound (IVUS) showed LAISA of both arteries. A paclitaxel-eluting stent, which had been implanted in the right coronary artery 3 years earlier, did not show such a finding. IVUS revealed “different vascular reactions” to “different types of DES” in this patient.
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U2 - 10.1007/s00380-014-0545-0
DO - 10.1007/s00380-014-0545-0
M3 - Article
C2 - 25031154
AN - SCOPUS:84947493883
SN - 0910-8327
VL - 30
SP - 824
EP - 829
JO - Heart and Vessels
JF - Heart and Vessels
IS - 6
ER -