Department of Cardiology, St. Antonius Hospital, 3435 CM Nieuwegein, the Netherlands.
Platelets. 2009 Dec;20(8):594-7. doi: 10.3109/09537100903294651.
In the present report, we describe a unique case of very late stent thrombosis with a bare-metal stent that occurred more than a decade after stent implantation. Potential explanations for the late stent thrombosis are non-compliance to aspirin, late acquired malapposition of the stent, progression of atherosclerosis or in-stent restenosis. In our patient, none of these explanations seems to have played a role. Although the occurrence of (very) late stent thrombosis is not uncommon with drug-eluting stent (DES), it is rather unusual with bare-metal stent (BMS). Nevertheless, cardiologists should be aware of the potential complication of late stent thrombosis, even with bare-metal stents.
在本报告中，我们描述了一例非常晚期的药物洗脱支架血栓形成，发生在支架植入 10 多年后。晚期支架血栓形成的潜在原因包括对阿司匹林的不依从、支架晚期贴壁不良、动脉粥样硬化进展或支架内再狭窄。在我们的患者中，这些解释似乎都没有起作用。虽然药物洗脱支架（DES）发生（非常）晚期支架血栓形成并不罕见，但裸金属支架（BMS）却很少见。尽管如此，即使使用裸金属支架，心脏病专家也应该意识到晚期支架血栓形成的潜在并发症。
