Late occlusive in-stent restenosis of a bare-metal stent presenting with ST-elevation anterior MI : is restenosis better than a late stent thrombosis?
Articolo
Data di Pubblicazione:
2009
Citazione:
Late occlusive in-stent restenosis of a bare-metal stent presenting with ST-elevation anterior MI : is restenosis better than a late stent thrombosis? / D. Trabattoni, A. Bartorelli. - In: INTERNATIONAL JOURNAL OF CARDIOLOGY. - ISSN 0167-5273. - 135:2(2009 Jun 26), pp. e65-e67.
Abstract:
In-stent restenosis (ISR) occurs in 20% to 40% of de novo coronary lesions treated with bare-metal stents (BMS), depending on lesion and patient-related factors. Drug-eluting stents coated with antiproliferative agents, represent a valid rationale for treatment and prevention of recurrent ISR, with low MACE rates. However, case reports and observational studies reported a definite increase in the incidence of late stent thrombosis after drug-eluting stents use, particularly in off-label cases and after clopidogrel withdrawal. The case we present shows target vessel occlusion occurring at the site of a previously implanted BMS, suggesting that in-stent restenosis was the main pathological mechanism leading to abrupt thrombotic vessel closure and acute myocardial infarction.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Acute myocardial infarction; Bare-metal stents; Drug-eluting stents; Late stent thrombosis; Restenosis
Elenco autori:
D. Trabattoni, A. Bartorelli
Link alla scheda completa: