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Very late stent thrombosis caused by rupture of lipid-laden neointima in a self-expanding coronary stent


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Title: Very late stent thrombosis caused by rupture of lipid-laden neointima in a self-expanding coronary stent
Authors: Koga, Seiji / Ikeda, Satoshi / Yoshida, Takeo / Nakata, Tomoo / Takeno, Masayoshi / Koide, Yuji / Maemura, Koji
Issue Date: 27-Jun-2012
Publisher: インターナショナル・ハート・ジャーナル刊行会 / International Heart Journal Association
Citation: International Heart Journal, 53(3), pp.202-204; 2012
Abstract: A 60-year-old man was admitted to our hospital due to acute ST-segment elevation myocardial infarction. He had a history of self-expanding stent implantation in the proximal left anterior descending artery due to stable angina pectoris 7 years earlier. Emergent coronary angiography on admission showed occlusion in the distal portion of the previously stented segment, in which observation by optical coherence tomography revealed the existence of a remarkable proliferation of lipid-laden neointimal tissues with rupture and thrombus. This suggests that very late stent thrombosis in a selfexpanding stent may occur through the process of atheromatous formation.
Keywords: Acute myocardial infarction / Optical coherence tomography / Percutaneous coronary intervention
URI: http://hdl.handle.net/10069/29760
ISSN: 13492365
DOI: 10.1536/ihj.53.202
Rights: © 2012 by the International Heart Journal Association
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/29760

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