Key result
AngioJet thrombectomy with adjunctive glycoprotein IIb/IIIa antagonist successfully removed filling defects in a 75-year-old man with late coronary stent thrombosis following exercise testing.
Case Report (n=1)
This case highlights the potential for exercise testing to trigger late coronary stent thrombosis, which was successfully managed with mechanical thrombectomy and glycoprotein IIb/IIIa inhibitors.
Exercise testing may trigger late stent thrombosis; single case leaves open thrombectomy efficacy and generalizability.
We report a case of coronary stent thrombosis that occurred 6 months after the primary stenting of the left anterior descending coronary artery for acute myocardial infarction in a 75-year-old man. The reinfarction occurred the day after the demonstration of persistent optimal result of the percutaneous coronary intervention and immediately after exercise testing. A combined approach of a mechanical thrombus burden reduction by using AngioJet thrombectomy with adjunctive glycoprotein IIb/IIIa antagonist was performed, resulting in the complete removal of filling defects on the angiography.
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Parodi et al. (2004) conducted a case report in Coronary stent thrombosis (n=1). AngioJet thrombectomy with adjunctive glycoprotein IIb/IIIa antagonist was evaluated on Complete removal of filling defects on angiography. AngioJet thrombectomy with adjunctive glycoprotein IIb/IIIa antagonist successfully removed filling defects in a 75-year-old man with late coronary stent thrombosis following exercise testing.
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