In-stent restenosis and thrombosis 41 months after drug-eluting stent implantation

Jamshidi, P. and Toggweiler, S. and Erne, P.. (2008) In-stent restenosis and thrombosis 41 months after drug-eluting stent implantation. International journal of cardiology, Vol. 130, H. 3 , e111-113.

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Official URL: http://edoc.unibas.ch/dok/A6007832

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Evidence indicates that very late stent thrombosis (<1 year) occurs more frequently in drug-eluting stents than in bare metal stents after discontinuation of clopidogrel. We present a case of an 83 year old man with an LAD in-stent thrombosis 41 months after stenting with a sirolimus-eluting stent in whom clopidogrel was discontinued after 6 months based on these days' guidelines. In-stent thrombus was aspirated and intracoronary ultrasound (ICUS) showed significant in-stent restenosis which had narrowed the minimal lumen diameter by 1 mm. The lesion was stented with a bare metal stent. The patient was discharged after recovery and had no recurrence of stent thrombosis in one month follow-up. We recommended indefinite dual antiplatelet therapy with aspirin and clopidogrel.
Faculties and Departments:03 Faculty of Medicine > Departement Biomedizin > Further Research Groups at DBM > Signal Transduction (Resink/Erne)
UniBasel Contributors:Erne, Paul
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Publisher:Excerpta medica
Note:Publication type according to Uni Basel Research Database: Journal item
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Last Modified:23 May 2014 08:34
Deposited On:23 May 2014 08:34

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