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Late stent thrombosis after drug-eluting stent implantation: a rare case of accelerated neo-atherosclerosis and early manifestation of neointimal rupture.

Authors
 Young-June Yang  ;  Mihyun Kim  ;  Junbeom Park  ;  Choongki Kim 
Citation
 Korean Circulation Journal, Vol.41(7) : 409-412, 2011 
Journal Title
 Korean Circulation Journal 
ISSN
 1738-5520 
Issue Date
2011
Abstract
An 80-year old woman suffered from sudden onset of chest pain and dyspnea, and visited the emergency room. She received stent implantation with a biolimus A9-eluting stent (Nobori® 3.0×24 mm) at a the mid-portion of the left anterior descending artery 5 months prior to admission. The emergency 5-month follow-up angiogram was performed under the impression of late stent thrombosis. The follow-up angiogram showed subtotal occlusion at the mid-portion of the left anterior descending artery, which was the same segment of previous stent implantation 5 months ago. Immediately after thrombus aspiration with the thrombus aspiration catheter, the optical coherence tomography showed layered appearance of neointimal hyperplasia and neointimal rupture within the previously stented segment. Thus, neointimal rupture within accelerated growth of neointimal tissue was observed within a relatively shorter period (i.e., about 5 months) after stent implantation.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95278
DOI
10.4070/kcj.2011.41.7.409
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김미현(Kim, Mi Hyun) ; 김병극(Kim, Byeong Keuk) ; 김충기(Kim, Choong Ki) ; 박준범(Park, Jun Beom) ; 양영준(Yang, Young June) ; 오재원(Oh, Jae Won) ; 원호연(Won, Ho Youn) ; 홍명기(Hong, Myeong Ki)
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