A Rare Case of Coronary Stent Thrombosis in the Modern Era

Area of Science:

• Cardiology
• Interventional Cardiology

Background:

• Drug-eluting stents (DESs) are crucial in percutaneous coronary interventions (PCI) for acute coronary syndrome and obstructive coronary artery disease.
• DESs help prevent abrupt arterial closure post-PCI, but stent thrombosis remains a rare yet severe complication.

Observation:

• A 75-year-old male experienced non-ST segment elevation myocardial infarction (NSTEMI), treated with PCI and stent placement.
• Ten days post-PCI, the patient developed stent thrombosis, necessitating emergent repeat PCI.

Findings:

• Repeat PCI involved successful overlapping stent replacement.
• The patient's antiplatelet regimen was switched from clopidogrel to ticagrelor post-procedure.

Implications:

• This case highlights the importance of vigilant monitoring for stent thrombosis after PCI.
• Switching to more potent antiplatelet therapy may be beneficial in managing stent thrombosis.
• Successful management of stent thrombosis can lead to favorable patient outcomes.