Highlights that very late stent thrombosis can occur even with bare-metal stents more than a decade after implantation, a complication typically associated with drug-eluting stents.
Very late BMS thrombosis may occur >10 years post-implantation without typical factors; leaves open its incidence and any surveillance implications.
In the present report, we describe a unique case of very late stent thrombosis with a bare-metal stent that occurred more than a decade after stent implantation. Potential explanations for the late stent thrombosis are non-compliance to aspirin, late acquired malapposition of the stent, progression of atherosclerosis or in-stent restenosis. In our patient, none of these explanations seems to have played a role. Although the occurrence of (very) late stent thrombosis is not uncommon with drug-eluting stent (DES), it is rather unusual with bare-metal stent (BMS). Nevertheless, cardiologists should be aware of the potential complication of late stent thrombosis, even with bare-metal stents.
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Zomer et al. (2009) studied this question.
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