A stent thrombosis that developed due to altered preoperative anticoagulation therapy in a patient with a drug eluting stent (DES): A case report.
- Author:
Jong Taek PARK
1
;
Kwan Hoon CHOI
;
Jang Young KIM
;
Il Hwan PARK
;
Sungwoo RYOO
;
Hyun Kyo LIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. hyunkyolim@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Percutaneous coronary intervention;
Preoperative anti-coagulation therapy;
Stent thrombosis
- MeSH:
Angiography;
Arteries;
Cardiopulmonary Resuscitation;
Chest Pain;
Coccyx;
Coronary Angiography;
Coronary Vessels;
Emergencies;
Heart;
Heparin, Low-Molecular-Weight;
Humans;
Percutaneous Coronary Intervention;
Shock, Septic;
Stents;
Thrombosis
- From:Anesthesia and Pain Medicine
2010;5(3):227-230
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 73 year-old man was admitted to our hospital because of septic shock. He had undergone drug eluting stent (DES) insertion 40 days before this admission. After about 50 days in the hospital, a coccyx sore required a flap operation. The anticoagulation therapy (aspirin and clopidogrel) was then changed to LMWH. Eleven days after this change, he developed very severe chest pain. The emergency coronary angiography showed occlusion of the left anterior descending artery, left circumflex artery, and right coronary artery due to thrombosis. During the angiography procedure, his heart collapsed. We performed cardio-pulmonary resuscitation (CPR), but were unsuccessful. Patients in very high risk groups need special attention during peri-operative periods. Doctors must have full knowledge about the different anticoagulation strategies, and cooperation among the different clinical departments is needed to properly treat these high risk patients.
