Why the study?
Does intravascular fiberscopy detect the cause of repeated stent thrombosis when coronary angiography fails?
Does intravascular fiberscopy detect the cause of repeated stent thrombosis when coronary angiography fails?
Intravascular fiberscopy (angioscopy) can be useful for identifying the cause of subacute stent thrombosis when coronary angiography fails to do so.
Angioscopy may identify occult causes of recurrent stent thrombosis missed by angiography; leaves open need for prospective validation before wider use.
Stent thrombosis is rare with anti-platelet therapy, which consists of aspirin and ticlopidine as a post-stenting administration. A 77-year-old man had repeated stent thrombosis, which was not predicted by coronary angiography, despite using contemporary periprocedural anti-platelet therapy. Only intravascular fiberscopy was able to detect the cause of the stent thrombosis.
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Yamada et al. (2001) studied this question.
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