Stent thrombosis following successful implantation of sirolimus-eluting stents: Five cases reports

Tomoko Gochi, Hisashi Umeda, Naoki Yoshida, Hironobu Maekawa, Kosuke Watanabe, Taro Okada, Toshiaki Katoh, Toru Asai, Tomomitsu Tani, Masaki Yokoya, Yoshimasa Murakami, Toyoaki Matsushita, Takeshi Shimizu, Yukio Ozaki, Shinya Hiramitsu, Toyoaki Murohara, Masanori Nomura, Shinichiro Morimoto, Hitoshi Hishida

Research output: Contribution to journalArticle

Abstract

Stent thrombosis has been shown to be a devastating complication after coronary stenting, although it occurs rarely. From June 2004 to July 2006, stent thrombosis occurred in 5 of 999 patients (0.5%) who underwent sirolimus-eluting stent (SES) implantation. One patient died and 3 patients developed myocardial infarction. All of these patients had several risk factors for stent thrombosis, such as diabetes, renal failure, type C lesions, stent underexpansion and incomplete lesion coverage, whereas premature discontinuation of ticlopidine was seen in only 1 patient. In conclusion, particular attention is needed when SES are implanted in patients at high risk of stent thrombosis.

Original languageEnglish
Pages (from-to)146-154
Number of pages9
JournalJapanese Journal of Interventional Cardiology
Volume22
Issue number2
Publication statusPublished - 23-05-2007

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Sirolimus
Stents
Thrombosis
Ticlopidine
Renal Insufficiency
Myocardial Infarction

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Gochi, T., Umeda, H., Yoshida, N., Maekawa, H., Watanabe, K., Okada, T., ... Hishida, H. (2007). Stent thrombosis following successful implantation of sirolimus-eluting stents: Five cases reports. Japanese Journal of Interventional Cardiology, 22(2), 146-154.
Gochi, Tomoko ; Umeda, Hisashi ; Yoshida, Naoki ; Maekawa, Hironobu ; Watanabe, Kosuke ; Okada, Taro ; Katoh, Toshiaki ; Asai, Toru ; Tani, Tomomitsu ; Yokoya, Masaki ; Murakami, Yoshimasa ; Matsushita, Toyoaki ; Shimizu, Takeshi ; Ozaki, Yukio ; Hiramitsu, Shinya ; Murohara, Toyoaki ; Nomura, Masanori ; Morimoto, Shinichiro ; Hishida, Hitoshi. / Stent thrombosis following successful implantation of sirolimus-eluting stents : Five cases reports. In: Japanese Journal of Interventional Cardiology. 2007 ; Vol. 22, No. 2. pp. 146-154.
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Gochi, T, Umeda, H, Yoshida, N, Maekawa, H, Watanabe, K, Okada, T, Katoh, T, Asai, T, Tani, T, Yokoya, M, Murakami, Y, Matsushita, T, Shimizu, T, Ozaki, Y, Hiramitsu, S, Murohara, T, Nomura, M, Morimoto, S & Hishida, H 2007, 'Stent thrombosis following successful implantation of sirolimus-eluting stents: Five cases reports', Japanese Journal of Interventional Cardiology, vol. 22, no. 2, pp. 146-154.

Stent thrombosis following successful implantation of sirolimus-eluting stents : Five cases reports. / Gochi, Tomoko; Umeda, Hisashi; Yoshida, Naoki; Maekawa, Hironobu; Watanabe, Kosuke; Okada, Taro; Katoh, Toshiaki; Asai, Toru; Tani, Tomomitsu; Yokoya, Masaki; Murakami, Yoshimasa; Matsushita, Toyoaki; Shimizu, Takeshi; Ozaki, Yukio; Hiramitsu, Shinya; Murohara, Toyoaki; Nomura, Masanori; Morimoto, Shinichiro; Hishida, Hitoshi.

In: Japanese Journal of Interventional Cardiology, Vol. 22, No. 2, 23.05.2007, p. 146-154.

Research output: Contribution to journalArticle

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T2 - Five cases reports

AU - Gochi, Tomoko

AU - Umeda, Hisashi

AU - Yoshida, Naoki

AU - Maekawa, Hironobu

AU - Watanabe, Kosuke

AU - Okada, Taro

AU - Katoh, Toshiaki

AU - Asai, Toru

AU - Tani, Tomomitsu

AU - Yokoya, Masaki

AU - Murakami, Yoshimasa

AU - Matsushita, Toyoaki

AU - Shimizu, Takeshi

AU - Ozaki, Yukio

AU - Hiramitsu, Shinya

AU - Murohara, Toyoaki

AU - Nomura, Masanori

AU - Morimoto, Shinichiro

AU - Hishida, Hitoshi

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Y1 - 2007/5/23

N2 - Stent thrombosis has been shown to be a devastating complication after coronary stenting, although it occurs rarely. From June 2004 to July 2006, stent thrombosis occurred in 5 of 999 patients (0.5%) who underwent sirolimus-eluting stent (SES) implantation. One patient died and 3 patients developed myocardial infarction. All of these patients had several risk factors for stent thrombosis, such as diabetes, renal failure, type C lesions, stent underexpansion and incomplete lesion coverage, whereas premature discontinuation of ticlopidine was seen in only 1 patient. In conclusion, particular attention is needed when SES are implanted in patients at high risk of stent thrombosis.

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Gochi T, Umeda H, Yoshida N, Maekawa H, Watanabe K, Okada T et al. Stent thrombosis following successful implantation of sirolimus-eluting stents: Five cases reports. Japanese Journal of Interventional Cardiology. 2007 May 23;22(2):146-154.