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Drug-eluting stent thrombosis after cilostazol withdrawal in a patient previously treated with triple antiplatelet therapy.

Authors
 Eui Im  ;  Sang-Hak Lee  ;  Jung-Sun Kim  ;  Donghoon Choi  ;  Yangsoo Jang 
Citation
 INTERNATIONAL JOURNAL OF CARDIOLOGY, Vol.135(2) : 55-57, 2009 
Journal Title
 INTERNATIONAL JOURNAL OF CARDIOLOGY 
ISSN
 0167-5273 
Issue Date
2009
MeSH
Aged ; Coronary Thrombosis/diagnostic imaging ; Coronary Thrombosis/etiology* ; Coronary Thrombosis/prevention & control ; Digestive System Surgical Procedures ; Drug-Eluting Stents/adverse effects* ; Humans ; Male ; Platelet Aggregation Inhibitors/administration & dosage ; Platelet Aggregation Inhibitors/adverse effects* ; Radiography ; Substance Withdrawal Syndrome/diagnostic imaging* ; Tetrazoles/administration & dosage ; Tetrazoles/adverse effects*
Abstract
Antiplatelet therapy has been shown to reduce cardiac events after coronary stenting. However, despite aggressive antiplatelet therapy, stent thrombosis remains a serious complication of coronary stenting with drug-eluting stent (DES). Although several predictors for DES thrombosis have been suggested by investigators, this serious condition is still not completely preventable now. In particular, patients undergoing non-cardiac surgery or invasive procedures with bleeding risk may interrupt antiplatelet therapy and occasionally experience stent thrombosis. We report a case of DES thrombosis after cilostazol withdrawal for colonoscopic polypectomy in a patient previously treated with triple antiplatelet therapy. The patient presented with acute myocardial infarction but survived after successful emergency coronary revascularization. We discuss a plausible mechanism for DES thrombosis in the described case.
Full Text
http://www.sciencedirect.com/science/article/pii/S0167527308005615
DOI
10.1016/j.ijcard.2008.03.084
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jung Sun(김중선) ORCID logo https://orcid.org/0000-0003-2263-3274
Lee, Sang Hak(이상학) ORCID logo https://orcid.org/0000-0002-4535-3745
Im, Eui(임의) ORCID logo https://orcid.org/0000-0002-5333-7593
Jang, Yang Soo(장양수) ORCID logo https://orcid.org/0000-0002-2169-3112
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103984
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