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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Early bare-metal stent thrombosis presenting with cardiogenic shock: a case report

Konstantinos M Lampropoulos1, Themistoklis A Iliopoulos, Werner Budts

  • 1Cardiology Department, Catheterization Laboratory 251 General Air Force Hospital, Athens, Greece. konlampropoulos@yahoo.gr.

Journal of Medical Case Reports
|October 11, 2011
PubMed

Insights

Early bare-metal stent thrombosis, a complication of percutaneous coronary interventions, is often caused by stent malapposition. Intravascular ultrasound is crucial for detecting this, improving patient outcomes.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Percutaneous coronary interventions (PCI) with stents significantly improve outcomes.
  • Coronary stent thrombosis remains a critical complication despite advancements.
  • Early stent thrombosis poses a substantial risk to patient health.

Purpose of the Study:

  • To present a case of early stent thrombosis after primary PCI.
  • To highlight the diagnostic utility of intravascular ultrasound (IVUS).
  • To emphasize the importance of recognizing stent malapposition.

Main Methods:

  • Case report of a 64-year-old male with acute inferior myocardial infarction.
  • Description of symptoms and electrocardiographic findings.
  • Utilized intravascular ultrasound for diagnosis.

Main Results:

  • The patient developed cardiogenic shock 48 hours post-PCI.
  • Stent malapposition was identified as the cause of thrombosis.
  • Angiography did not reveal the underlying issue.

Conclusions:

  • Stent malapposition is a primary cause of early bare-metal stent thrombosis.
  • Intravascular ultrasound is superior to angiography in identifying malapposition.
  • Early detection of malapposition can prevent severe complications.
Abstract

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