000			02255nam a22004457a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a2168-8184
024			_aPMC11230619 [pmc]
040			_aOvid MEDLINE(R)
099			_a38978940
245			_a"Very" Very Late Stent Thrombosis: A Detailed Look at Two Cases.
251			_aCureus. 16(6):e61914, 2024 Jun.
252			_aCureus. 16(6):e61914, 2024 Jun.
253			_aCureus
260			_c2024
260			_fFY2025
260			_p2024 Jun
265			_sepublish
265			_tPubMed-not-MEDLINE
266			_d2024-08-07
266			_z2024/07/09 04:19
520			_aAlthough 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.
546			_aEnglish
650			_zAutomated
651			_aMedStar Union Memorial Hospital
656			_aHospitalist
656			_aInternal Medicine Residency
656			_aInterventional Cardiology
656			_aMedicine
656			_aMedStar St Mary's Hospital
657			_aCase Reports
657			_aJournal Article
700			_aKaliyadan, Antony _bMUMH
700			_aPingili, Adhvithi _bMUMH _cInternal Medicine Residency _dMBBS
700			_aRao, Shiavax J _bMUMH
700			_aWang, John _bMSM
790			_aPingili A, Rao SJ, Khalid T, Wang J, Kaliyadan A
856			_uhttps://dx.doi.org/10.7759/cureus.61914 _zhttps://dx.doi.org/10.7759/cureus.61914
942			_cART _dArticle
999			_c14457 _d14457