This case highlights the catastrophic and fatal risk of simultaneous very late stent thrombosis in multiple vessels following the withdrawal of antiplatelet therapy.
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Urges caution with antiplatelet interruption after multi-vessel PCI; single case leaves open true incidence of simultaneous very late thrombosis.
Late stent thrombosis is one of the most serious complications associated with morbidity and mortality after coronary drug-eluting stent implantation, and is mainly caused by the withdrawal of antiplatelet agents. We report our experience of late stent thrombosis simultaneously involving three different coronary arteries in a young male patient who was treated with three drug-eluting stents two years ago. The patient stopped taking antiplatelet agents for several days. The patient did not recover from cardiogenic shock, even after repeated ballooning with thrombus aspiration, intra-aortic balloon pumping, and temporary pacing during cardiopulmonary resuscitation. (Korean Circ J 2008;38:564-569)
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Ahn et al. (2008) studied this question.
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