Highlights that late and very late stent thrombosis can occur with bare metal stents, not just drug-eluting stents.
Very late bare metal stent thrombosis warrants clinical vigilance; extends the phenomenon beyond drug-eluting stents but leaves optimal antithrombotic duration open.
The issue of late stent thrombosis (LAST) has become a subject of highly polemical debate over the past few months. Yet, both acute and LAST has always been a potential complication. The objective of this manuscript is to remind the readers, by means of two case reports, that thrombosis of bare metal stents may occur even very late after stent implantation. In the first case, stent thrombosis occurred after five years. In the second case, it occurred three years after the stenting procedure in a bare metal stent implanted in the circumflex artery of a patient who had also received two drug-eluting stents in the left anterior descending coronary artery.
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Ramos et al. (2007) studied this question.
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