Acute Left Main Coronary Occlusion Caused by Stent Fracture, Peri-Stent Aneurysm Formation, and Very-Late Stent Thrombosis: Revisiting the Dark Side of Drug-Eluting Stents

Abstract A patient presented with acute distal left main occlusion as a result of very late stent thrombosis of 2 drug-eluting stents. Intravascular ultrasound imaging confirmed the presence of a peri-stent aneurysm coupled with malapposition at the site of a stent fracture, reflecting an abnormal v...

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Veröffentlicht in:	Canadian journal of cardiology 2014, Vol.30 (1), p.146.e1-146.e3
Hauptverfasser:	Daneault, Benoit, MD, Baird, Stacy, MD, Kirtane, Ajay J., MD, SM
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Adult Cardiac Catheterization Cardiovascular Coronary Aneurysm - complications Coronary Aneurysm - diagnosis Coronary Aneurysm - surgery Coronary Angiography Coronary Stenosis - diagnosis Coronary Stenosis - etiology Coronary Stenosis - surgery Echocardiography, Stress Female Follow-Up Studies Graft Occlusion, Vascular - diagnosis Graft Occlusion, Vascular - etiology Graft Occlusion, Vascular - surgery Humans Prosthesis Failure Reoperation Stents Ultrasonography, Interventional
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Zusammenfassung:	Abstract A patient presented with acute distal left main occlusion as a result of very late stent thrombosis of 2 drug-eluting stents. Intravascular ultrasound imaging confirmed the presence of a peri-stent aneurysm coupled with malapposition at the site of a stent fracture, reflecting an abnormal vascular response to drug-eluting stents.
ISSN:	0828-282X 1916-7075
DOI:	10.1016/j.cjca.2013.07.677