Subacute stent thrombosis occurring more than one month after implantation for acute myocardial infarction

被引:2
作者
La Vecchia, L [1 ]
Bedogni, F [1 ]
Vincenzi, M [1 ]
机构
[1] Osped S Bortolo, Div Cardiol, I-36100 Vicenza, Italy
关键词
acute myocardial infarction; primary angioplasty; stent implantation; thrombosis;
D O I
10.1159/000006864
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Two patients are described with anterior acute myocardial infarction who had a successful recanalization of a totally occluded left anterior descending coronary artery by means of primary angioplasty and stenting. Reinfarction occurred more than 1 month after implantation. At angiography, a totally occluded left anterior descending coronary artery at the site of stenting was observed and was effectively reopened with angioplasty and stenting in both cases. This report aims to emphasize that acute myocardial infarction still represents a major risk factor for subacute stent thrombosis and that this potentially catastrophic event may occur late after implantation. Potential implications for revascularization strategies and medical treatment are discussed.
引用
收藏
页码:305 / 308
页数:4
相关论文
共 15 条
[1]   CORONARY STENTING FOR ACUTE MYOCARDIAL-INFARCTION [J].
AHMAD, T ;
WEBB, JG ;
CARERE, RR ;
DODEK, A .
AMERICAN JOURNAL OF CARDIOLOGY, 1995, 76 (01) :77-80
[2]   SUBACUTE THROMBOTIC COMPLICATIONS AFTER INTRACORONARY IMPLANTATION OF PALMAZ-SCHATZ STENTS [J].
HAUDE, M ;
ERBEL, R ;
ISSA, H ;
STRAUB, U ;
RUPPRECHT, HJ ;
TREESE, N ;
MEYER, J .
AMERICAN HEART JOURNAL, 1993, 126 (01) :15-22
[3]   Intracoronary stent implantation without ultrasound guidance and with replacement of conventional anticoagulation by antiplatelet therapy - 30-day clinical outcome of the French Multicenter Registry [J].
Karrillon, GJ ;
Morice, MC ;
Benveniste, E ;
Bunouf, P ;
Aubry, P ;
Cattan, S ;
Chevalier, B ;
Commeau, P ;
Cribier, A ;
Eiferman, C ;
Grollier, G ;
Guerin, Y ;
Henry, M ;
Lefevre, T ;
Livarek, B ;
Louvard, Y ;
Marco, J ;
Makowski, S ;
Monassier, JP ;
Pernes, JM ;
Rioux, P ;
Spaulding, C ;
Zemour, G .
CIRCULATION, 1996, 94 (07) :1519-1527
[4]   Subacute stent thrombosis in the era of intravascular ultrasound-guided coronary stenting without anticoagulation: Frequency, predictors and clinical outcome [J].
Moussa, I ;
DiMario, C ;
Reimers, B ;
Akiyama, T ;
Tobis, J ;
Colombo, A .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (01) :6-12
[5]   Coronary Palmaz-Schatz stent implantation in acute myocardial infarction [J].
Neumann, FJ ;
Walter, H ;
Richardt, G ;
Schmitt, C ;
Schomig, A .
HEART, 1996, 75 (02) :121-126
[6]  
RODRIGUEZ A, 1997, J AM COLL CARDIOL S, V29, P221
[7]   Coronary stenting in patients undergoing percutaneous transluminal coronary angioplasty during acute myocardial infarction [J].
Rodriguez, AE ;
Fernandez, M ;
Santaera, O ;
Larribau, M ;
Bernardi, V ;
Castano, H ;
Palacios, IF .
AMERICAN JOURNAL OF CARDIOLOGY, 1996, 77 (09) :685-689
[8]   BALLOON-EXPANDABLE INTRACORONARY STENTS IN THE ADULT DOG [J].
SCHATZ, RA ;
PALMAZ, JC ;
TIO, FO ;
GARCIA, F ;
GARCIA, O ;
REUTER, SR .
CIRCULATION, 1987, 76 (02) :450-457
[9]   Coronary stent placement in patients with acute myocardial infarction: Comparison of clinical and angiographic outcome after randomization to antiplatelet or anticoagulant therapy [J].
Schomig, A ;
Neumann, FJ ;
Walter, H ;
Schuhlen, H ;
Hadamitzky, M ;
ZitzmannRoth, EM ;
Dirschinger, J ;
Hausleiter, J ;
Blasini, R ;
Schmitt, C ;
Alt, E ;
Kastrati, A .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (01) :28-34
[10]   Major benefit from antiplatelet therapy for patients at high risk for adverse cardiac events after coronary Palmaz-Schatz stent placement - Analysis of a prospective risk stratification protocol in the Intracoronary Stenting and Antithrombotic Regimen (ISAR) Trial [J].
Schuhlen, H ;
Hadamitzky, M ;
Walter, H ;
Ulm, K ;
Schomig, A .
CIRCULATION, 1997, 95 (08) :2015-2021