1. Very Late Stent Thrombosis 89 Months after Implantation of Durable Polymer Everolimus-Eluting Stent due to Late Acquired Stent Malapposition and Uncovered Struts Observed by Optical Coherence Tomography, Near-Infrared Spectroscopy and Coronary Angioscopy

    Very Late Stent Thrombosis 89 Months after Implantation of Durable Polymer Everolimus-Eluting Stent due to Late Acquired Stent Malapposition and Uncovered Struts Observed by Optical Coherence Tomography, Near-Infrared Spectroscopy and Coronary Angioscopy

    Very late stent thrombosis (VLST) is a potentially life-threatening complication in coronary angioplasty patients. The patient was a 95-year-old man who had been implanted with a durable polymer everolimus-eluting stent (DP-EES, 3.5 × 23 mm) at the restenosis site in the proximal part of the left descending artery using only plain balloon angioplasty for acute coronary syndrome (ACS) 27 months earlier. Final intravascular ultrasound (IVUS) evaluation had shown no stent malapposition and adequate stent expansion. However, he presented to our hospital due to vomiting and fatigue 89 months after the implantation. An electrocardiogram showed ST-elevation in V2-6 leads, we therefore ...

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