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

 -  2024 
<br/><br/> 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. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>2168-8184 
<br/><br/><label>Standard No.: </label>PMC11230619 [pmc] 
<br/><br/><label>Subjects--Topical Terms: </label>--Automated
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Union Memorial Hospital
<br/><br/><label>Index Terms--Occupation: </label><br/>Hospitalist<br/>Internal Medicine Residency<br/>Interventional Cardiology<br/>Medicine<br/>MedStar St Mary's Hospital
<br/><br/><label>Index Terms--Function: </label><br/>Case Reports<br/>Journal Article