1. Very late bare metal stent thrombosis due to neoatherosclerotic plaque rupture: an optical coherence tomography finding

    Very late bare metal stent thrombosis due to neoatherosclerotic plaque rupture: an optical coherence tomography finding

    Very late stent thrombosis (VLST) is a rare but potentially catastrophic complication occurring after percutaneous coronary intervention. The mechanisms involved in VLST in bare metal stents (BMS) are poorly understood. A 50-year-old man presented with an inferior ST-elevation myocardial infarction. There was a history of percutaneous coronary intervention of the right coronary artery with a BMS 7 years ago. Emergency coronary angiography revealed acute stent thrombosis within the right coronary artery stent (figure 1) (panel A). After aspiration thrombectomy, optical coherence tomography was performed (panel I–V). The optical coherence tomography findings in this case support the growing evidence that ...

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