A Newly Formed and Ruptured Atheromatous Plaque within Neointima after Drug-Eluting Stent Implantation: 2-Year Follow-Up Intravascular Ultrasound and Optical Coherence Tomography Studies.
10.3349/ymj.2011.52.6.1028
- Author:
Chang Myung OH
1
;
Jeonggeun MOON
;
Hee Tae YU
;
Ji Yong JANG
;
Jung Sun KIM
;
Young Guk KO
;
Donghoon CHOI
;
Yangsoo JANG
;
Myeong Ki HONG
Author Information
1. Division of Cardiology, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Seoul, Korea. mkhong61@yuhs.ac
- Publication Type:Case Reports
- Keywords:
Drug-eluting stents;
thrombosis;
optical coherence tomography
- MeSH:
*Angioplasty, Balloon, Coronary;
Coronary Angiography;
*Drug-Eluting Stents;
Humans;
Male;
Middle Aged;
Neointima/*pathology/ultrasonography;
Thrombosis/pathology/ultrasonography;
Tomography, Optical Coherence/*methods;
Ultrasonography, Interventional/*methods
- From:Yonsei Medical Journal
2011;52(6):1028-1030
- CountryRepublic of Korea
- Language:English
-
Abstract:
Late stent thrombosis (LST) which is a life threatening complication has emerged as a serious problem of drug-eluting stents (DES). Several studies have suggested that incomplete neointimal coverage of stent struts contributes to LST. Progressive atherosclerosis within the neointima is an another possible cause of LST, but this phenomenon has seldom been reported in DES. We present a case of LST following DES implantation after a period of 28 months due to ruptured atheromatous plaque, despite complete neointimal coverage of stent struts proven by optical coherence tomography.
