Key result
A 64-year-old man experienced very late stent thrombosis 35 months after sirolimus-eluting stent implantation, associated with delayed 5-segment stent fractures and peri-stent aneurysm formation.
Case Report (n=1)
No
This case highlights the rare but severe complication of very late stent thrombosis associated with stent fracture and aneurysm formation following sirolimus-eluting stent implantation.
Very late stent thrombosis may occur years after sirolimus-eluting stents via fracture and aneurysm; this case leaves open the incidence and surveillance needs.
Previous randomized trials have shown that drug-eluting stents (DES) are superior to bare-metal stents in reducing the need for target lesion revascularization, but safety issues with DES have recently been raised. We report a rare case of very late stent thrombosis 35 months after sirolimus-eluting stent implantation associated with delayed 5-segment stent fractures and peri-stent aneurysm formation.
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Lee et al. (2008) conducted a case report in Very late stent thrombosis (n=1). Sirolimus-eluting stent was evaluated on Very late stent thrombosis, stent fracture, and peri-stent aneurysm formation. A 64-year-old man experienced very late stent thrombosis 35 months after sirolimus-eluting stent implantation, associated with delayed 5-segment stent fractures and peri-stent aneurysm formation.
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