裸金属支架植入术后极晚期支架内血栓形成：病例报告及文献复习

Very late stent thrombosis after bare-metal stent implantation: case reports and review of the literature.

作者信息

Lemesle Gilles, Pinto Slottow Tina L, Waksman Ron

机构信息

Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA.

出版信息

J Invasive Cardiol. 2009 Feb;21(2):E27-32.

PMID:19182301

Abstract

Stent thrombosis (ST) is a catastrophic complication that frequently presents as an acute myocardial infarction and/or death. The most recently accepted definition established by the Academic Research Consortium classifies ST as: early (occurring within 30 days), late (30 days to 1 year) or very late (after 1 year). Very late ST has been reported following drug-eluting stent implantation with rates up to 0.6% per year and has been attributed to delayed strut endothelialization. However, very late ST is unusual after bare-metal stent (BMS) implantation. We report two cases of patients presenting with ST-elevation myocardial infarction due to very late ST 6 and 8 years after BMS implantation.

摘要

支架内血栓形成（ST）是一种灾难性并发症，常表现为急性心肌梗死和/或死亡。学术研究联盟最近采用的定义将ST分为：早期（30天内发生）、晚期（30天至1年）或极晚期（1年后）。药物洗脱支架植入术后已报道极晚期ST的发生率高达每年0.6%，并归因于支架小梁内皮化延迟。然而，裸金属支架（BMS）植入术后极晚期ST并不常见。我们报告了2例患者，在BMS植入术后6年和8年因极晚期ST出现ST段抬高型心肌梗死。