Frynas Karolina, Krecki Radosław, Krzemińska-Pakuła Maria, Kasprzak Jarosław D
II Katedra i Klinika Kardiologii, Uniwersytet Medyczny, Łodź.
Kardiol Pol. 2010 Sep;68(9):1070-3; discussion 1074-5.
In-stent thrombosis is a rare but devastating complication of coronary stent implantation, occurring in 0.5% to 1.9% of patients with bare metal stents (BMS). The most frequent clinical manifestation of stent thrombosis is ST elevation myocardial infarction (STEMI) and 30 day mortality is 50%. In-stent thrombosis can present as acute (within 24 h), subacute (within 30 days), late or very late after stent placement. We describe a case of a patient presented with STEMI due to subacute stent thrombosis, which occurred simultaneously in BMS, 3 days after implantation. The patient was successfully treated with balloon coronary angioplasty and discharged from a hospital in good condition.
支架内血栓形成是冠状动脉支架植入术后一种罕见但极具破坏性的并发症,在接受裸金属支架(BMS)植入的患者中发生率为0.5%至1.9%。支架内血栓形成最常见的临床表现是ST段抬高型心肌梗死(STEMI),30天死亡率为50%。支架内血栓形成可表现为急性(24小时内)、亚急性(30天内)、晚期或支架置入后非常晚期。我们描述了一例因亚急性支架内血栓形成导致STEMI的患者,该血栓在植入BMS后3天同时发生于多个支架。患者通过球囊冠状动脉成形术成功治疗,出院时情况良好。