Highlights the rare occurrence of very very late stent thrombosis nearly a decade after first-generation drug-eluting stent implantation.
Alerts clinicians to possible thrombosis years after DES; leaves open optimal antiplatelet duration.
Very late stent thrombosis (VLST) has been recognized as a class effect of 1st generation drug eluting stents (DES) implantation. Although rare, VLST has been reported between 1 and 4 years after DES implantation. Very very late stent thrombosis (VVLST) occurring more than 5 years after DES implantation is extremely rare. We report the first case of a VVLST from India occurring 3465 days (9.5 years) after DES implantation with a brief discussion on its pathogenesis and prevention.
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Sanjiv Gupta (2016) studied this question.
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