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Diabetes mellitus: a prothrombotic state implications for outcomes after coronary revascularization
Clarissa Cola1, Salvatore Brugaletta, Victoria Martín Yuste
1Department of Cardiology, Interventional Cardiology Unit, Sant Pau University Hospital, Barcelona, Spain.
Abstract:
Coronary stent thrombosis is a serious problem in the drug-eluting stent era. Despite aggressive antiplatelet therapy during and after percutaneous coronary intervention (PCI), the incidence of sub-acute stent thrombosis remains approximately 0.5%-2%, which may represent a catastrophic clinical situation. Both procedural factors and discontinuation of antiplatelet therapy are normally associated with this event. We report on simultaneous stent thromboses of two drug-eluting stents implanted in two different vessels, which resulted in a life-threatening clinical condition. Possible contributing factors that led to synergistic thrombotic effects are discussed.
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