Key result
A 60-year-old male experienced a right ventricular STEMI due to very very late stent thrombosis 12.3 years after the implantation of a first-generation paclitaxel-eluting stent.
Why the study?
Very very or extremely late stent thrombosis occurring after five years of drug-eluting stent implantation is extremely rare.
Case Report (n=1)
No
This case highlights the rare but potentially life-threatening risk of extremely late stent thrombosis over a decade after first-generation drug-eluting stent implantation, suggesting a potential role for prolonged antiplatelet therapy in selected patients.
Answers are grounded in this paper and cite their sources.
Extremely late stent thrombosis can occur >12 years after DES; leaves open optimal surveillance and therapy duration.
Very late stent thrombosis (VLST) refers to stent thrombosis occurring beyond one year after coronary intervention. "Very" very or extremely late stent thrombosis (VVLST), occurring after five years of drug-eluting stent (DES) implantation, is extremely rare. We report a case of a 60-year-old male patient with ST-elevation myocardial infarction (STEMI) due to in-stent thrombosis 12.3 years after first-generation DES implantation; we also engage in a brief discussion of its pathogenesis and prevention.
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Tran et al. (2024) conducted a case report in Very very late stent thrombosis (VVLST) presenting as STEMI (n=1). Paclitaxel-eluting stent implantation was evaluated on Very very late stent thrombosis. A 60-year-old male experienced a right ventricular STEMI due to very very late stent thrombosis 12.3 years after the implantation of a first-generation paclitaxel-eluting stent.
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