1. EuroIntervention Near infrared spectroscopy, optical coherence tomography and angioscopy to unravel the mechanism of very late metallic drug-eluting stent thrombosis

    EuroIntervention Near infrared spectroscopy, optical coherence tomography and angioscopy to unravel the mechanism of very late metallic drug-eluting stent thrombosis

    The incidence of very late stent thrombosis (VLST) after second-generation drug-eluting stent (DES) implantation has decreased compared to that previously seen after first-generation DES implantation. However, VLST remains a major concern and its mechanism has not been fully elucidated yet. A 69-year-old man with angina pectoris was implanted with a durable-polymer everolimuseluting stent (EES, Xience, 3.25x33mm) in left circumflex artery. At 1-year follow-up, coronary angiography (CAG) demonstrated the patency of the EES. Dual-antiplatelet therapy was switched to single-antiplatelet therapy using clopidogrel. However, he had sudden onset of chest pain

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