Key result
Emergent repeat PCI successfully resolves acute stent thrombosis yielding clinical stability in a case report.
Why the study?
Stent thrombosis is an uncommon but serious complication of PCI, especially despite recent advancements in stent technology.
Case Report (n=1)
No
Highlights a case of early stent thrombosis in the modern era successfully managed with repeat PCI and escalation of antiplatelet therapy to ticagrelor.
Supports feasibility of repeat PCI with ticagrelor escalation in early stent thrombosis; case report leaves open optimal prevention strategies.
In patients with acute coronary syndrome or obstructive coronary artery disease, stents, especially drug-eluting stents (DESs), are used for percutaneous coronary interventions (PCI). DES prevents abrupt closure of the stented artery. Stent thrombosis is an uncommon but serious complication of PCI, especially with the recent advancement of stent technology. We present a case of a 75-year-old male who initially suffered a non-ST segment elevation myocardial infarction (NSTEMI) treated appropriately with PCI and subsequently developed stent thrombosis after 10 days of initial stent placement. He then underwent emergent repeat PCI with successful replacement of stents overlapping previous stents. The patient did well following the procedure. His clopidogrel was changed to a more potent antiplatelet ticagrelor. He remained stable throughout the hospital stay and was discharged home without any further complications following the next 90 days.
No takes yet. Share an insight, caveat, or question.
Hussain et al. (2022) conducted a case report in Coronary stent thrombosis (n=1). Emergent repeat percutaneous coronary intervention (PCI) was evaluated on Clinical recovery and stent patency. Emergent repeat percutaneous coronary intervention successfully treated acute stent thrombosis in a 75-year-old male 10 days after initial stent placement, with the patient remaining stable over 90 days.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: