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"Very" Very Late Stent Thrombosis: A Detailed Look at Two Cases. - 2024

Although percutaneous coronary intervention (PCI) has radically transformed the scope of treating coronary artery disease with stenting, stent thrombosis (STh) remains a feared complication. Very late STh, a rare complication after PCI, refers to STh occurring greater than one year after post-stent implantation. An even rarer phenomenon, "very" very late stent thrombosis (VVLST), is described in the literature as STh occurring more than five years post-stent implantation. To our knowledge, there are only 10 case reports and one case series describing VVLST. We discuss two additional complex clinical cases of VVLST presenting as ST-elevation myocardial infarction. We highlight epidemiology, pathophysiology, presentation, diagnostic methods, treatment approach, associated complications, and the need for more extensive future work to minimize the risk of VVLST. Copyright © 2024, Pingili et al.


English

ISSN: 2168-8184

Standard No.: PMC11230619 [pmc]

Subjects--Topical Terms: --Automated

Subjects--Geographic Terms:
MedStar Union Memorial Hospital

Index Terms--Occupation:
Hospitalist
Internal Medicine Residency
Interventional Cardiology
Medicine
MedStar St Mary's Hospital

Index Terms--Function:
Case Reports
Journal Article