一名接受西罗莫司洗脱支架经皮冠状动脉介入治疗的患者发生极晚期支架血栓复发：机制相同还是不同？
Recurrent episode of very late stent thrombosis in a patient who underwent percutaneous coronary intervention with sirolimus-eluting stent: Same or different mechanism?
作者信息
Suh Soon Yong, Kang Woong Chol, Ahn Taehoon
机构信息
Cardiology Division, Department of Internal Medicine, Heart Center, Gil Hospital, Gachon University, 1198 Kuwol-dong, Namdong-gu, Incheon 405-760, Republic of Korea.
出版信息
J Cardiol Cases. 2011 Dec 6;5(1):e8-e11. doi: 10.1016/j.jccase.2011.10.007. eCollection 2012 Feb.
Abstract
We describe a case of a young patient with a recurrent episode of very late stent thrombosis (VLST) in whom the sirolimus-eluting stent was implanted on the culprit lesion in the left anterior descending artery. The present case showed when the etiology of VLST was not clear or in doubt of stent fracture, vigorous investigation for other causes using high resolution technology such as intravascular ultrasound or computed tomography angiography might be helpful for prevention of catastrophic events such as VLST.
摘要
我们描述了一例年轻患者发生极晚期支架血栓形成（VLST）复发的病例，该患者在左前降支罪犯病变处植入了西罗莫司洗脱支架。本病例表明，当VLST的病因不明或怀疑支架断裂时，使用血管内超声或计算机断层血管造影等高分辨率技术对其他原因进行积极检查，可能有助于预防诸如VLST等灾难性事件。
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本文引用的文献
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Multiple sequential complications after sirolimus-eluting stent implantation: very late stent thrombosis, stent fracture, in-stent restenosis, and peri-stent aneurysm.西罗莫司洗脱支架置入术后的多重连续并发症：极晚期支架血栓形成、支架断裂、支架内再狭窄和支架周围动脉瘤。
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