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Catheter Cardiovasc Interv · Feb 2012
Case ReportsVery late thrombosis in a bare metal stent: mechanistic analysis from optical coherence tomography.
- Jie Qian and Yue-Jin Yang.
- Department of Cardiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
- Catheter Cardiovasc Interv. 2012 Feb 1;79(2):288-90.
AbstractRecent publications have emphasized the concept that restenosis of a bare metal stent (BMS) is not as clinically benign as previously believed. We present a case of very late stent thrombosis 9 years after implantation of a BMS is described. Optical coherence tomography shows plaque rupture in the stent. These findings suggest that the formation and progression of a neoatheroma over a previously healed intrastent vascular intima may represent a "new" mechanism for stent thrombosis. Evidence from the current case supports this hypothesis.Copyright © 2011 Wiley Periodicals, Inc.
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