1. Late Drug-Eluting Stent Thrombosis: Optical Coherence Tomography and Intravascular Ultrasound Insights

    Late Drug-Eluting Stent Thrombosis: Optical Coherence Tomography and Intravascular Ultrasound Insights

    Late stent thrombosis (LST) after drug-eluting stent (DES) implantation remains a dreadful complication.1–4 Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) provide unique insights on the results of DES implantation.1–3 We describe the value of a “combined” use of these intracoronary diagnostic techniques in a patient with DES LST. A 51-year-old man with unstable angina and a severe lesion in the proximal left anterior descending coronary artery was successfully treated with an everolimus-eluting stent. Despite excellent initial angiographic results, OCT disclosed malapposed struts and protrusion (2 mm) of the proximal edge of the DES across the ...

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