Patient after extensive crushing injury of the lower limb with subacute stent thrombosis

Percutaneous transluminal coronary angioplasty with stent implantation is a basic life-saving treatment of stenotic lesions causing acute coronary syndromes. Stent thrombosis is one of the most serious complications of coronary angioplasty, strongly associated with recurrent myocardial infarction and high mortality. Many factors were identified as increasing the incidence of stent thrombosis including bleeding and inflammation. I am presenting a case of a 54-year-old man after extensive crushing injury of the lower limb with simultaneous stent thrombosis in two recently implanted stents. As a preventive measure for stent thrombosis novel potent antiplatelet agents may be a reasonable choice even for patients with high bleeding risk.