TY  - BOOK
AU  - Kaliyadan, Antony
AU  - Pingili, Adhvithi
AU  - Rao, Shiavax J
AU  - Wang, John
TI  - "Very" Very Late Stent Thrombosis: A Detailed Look at Two Cases
SN  - 2168-8184
PY  - 2024///
KW  - Automated
KW  - MedStar Union Memorial Hospital
KW  - Hospitalist
KW  - Internal Medicine Residency
KW  - Interventional Cardiology
KW  - Medicine
KW  - MedStar St Mary's Hospital
KW  - Case Reports
KW  - Journal Article
N2  - 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
UR  - https://dx.doi.org/10.7759/cureus.61914
ER  -