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- Akihiro Endo, Yusuke Morita, Yu Yasuda, Hiroshi Kawahara, Yuzo Kagawa, and Kazuaki Tanabe.
- Division of Cardiology, Faculty of Medicine, Shimane University, Japan.
- Intern. Med. 2022 Apr 15; 61 (8): 1163-1167.
AbstractA 54-year-old man was admitted to our hospital due to intermittent chest pain. He had a history of acute myocardial infarction, and peri-stent contrast staining had been observed at the stent implantation site. The patient previously underwent anticoagulation therapy for left ventricular thrombus and antiplatelet therapy to prevent stent thrombosis. More than one year after implantation of a drug-eluting stent, antiplatelet drugs were discontinued, and anticoagulant alone was prescribed according to the guidelines, which resulted in very late stent thrombosis. The risks of both bleeding and thrombosis must be fully considered when deciding whether or not to discontinue antiplatelet therapy during anticoagulation therapy.
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