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Updated: Jun 10, 2026
04:30
A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
Published on: May 14, 2013
Stent thrombosis after complex multivessel stenting in an elderly patient
Shigenori Ito1, Takayuki Yoshida
1Division of Cardiology, East Medical Center, Higashi Municipal Hospital, City of Nagoya, 1-2-23 Wakamizu-cho, Nagoya-shi, Aichi, Japan. sito@higashi-hosp.jp
Summary
This case study highlights challenges in treating complex coronary artery disease with multivessel stenting in an elderly patient with bleeding risks. Late stent thrombosis occurred, emphasizing the need for careful risk-benefit assessment.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Elderly patients with complex coronary artery disease present unique challenges.
- Severe left ventricular dysfunction and bleeding history complicate revascularization decisions.
Observation:
- Successful multivessel stenting was performed for long subtotal occlusions in the right coronary artery (RCA) and left anterior descending coronary artery (LAD).
- Procedural challenges included stent deployment in suboptimal locations and managing bleeding risks.
Findings:
- Late stent thrombosis occurred in the proximal RCA approximately 3 months post-procedure.
- Potential causes identified include aspirin non-adherence and bare-metal stent restenosis.
Implications:
- This case underscores the critical balance between ischemia and bleeding risks in complex coronary interventions.
- Careful patient selection and post-procedural management are crucial for long-term stent patency.
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