Very late stent thrombosis predicted by multislice computed tomography
Yoshimitsu Tanaka1, Ki-Ichiro Tomiyasu1, Satoshi Akabame1
1Department of Cardiology, Yamashiro Public Hospital, Kizugawa, 74-1 Kizu Ikeda, Kyoto 619-0214, Japan.
Abstract:
Although drug-eluting stents (DES) are rapidly replacing bare metal stents, there are increasing concerns regarding the potential for very late stent thrombosis after DES implantation. It is suggested that incomplete stent apposition (ISA) due to positive remodeling is strongly associated with this. We present a case of a 68-year-old male who developed very late stent thrombosis (VLST) 40 months after DES implantation. The ISA of the stented vessel had already been detected by multislice computed tomography (MSCT). MSCT could be a useful modality to detect VLST.
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