Simultaneous Multivessel Acute Stent Thrombosis in a Patient with Gastrointestinal Bleeding.
10.3904/kjm.2016.90.4.322
- Author:
Jun Young KIM
1
;
Hye In KIM
;
Ji Won KIM
;
Jin Hae KIM
;
Young Nam KIM
;
Young Bin SONG
;
June Soo KIM
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. juneskim@skku.edu
- Publication Type:Case Report
- Keywords:
Stent thrombosis;
Percutaneous coronary intervention;
Drug-eluting stent;
Gastrointestinal hemorrhage;
Blood transfusion
- MeSH:
Acute Coronary Syndrome;
Aspirin;
Blood Transfusion;
Drug-Eluting Stents;
Gastrointestinal Hemorrhage;
Hemorrhage*;
Humans;
Middle Aged;
Percutaneous Coronary Intervention;
Stents*;
Thrombosis*;
Prasugrel Hydrochloride
- From:Korean Journal of Medicine
2016;90(4):322-325
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Stent thrombosis is a rare, but potentially catastrophic complication of stent implantation. Dual antiplatelet therapy with aspirin and a thienopyridine (clopidogrel, prasugrel, or ticagrelor) is essential to minimize the risk of stent thrombosis in patients receiving drug-eluting stents. However, there is an ongoing debate regarding antiplatelet therapy in patients presenting with acute coronary syndrome and bleeding. Here, we report a case of a 59-year-old man with acute stent thrombosis immediately after percutaneous coronary intervention combined with acute coronary syndrome and gastrointestinal bleeding.