Öz
Abstract
Stent thrombosis is undesirable complication after percutaneous coronary interventions (PCI), despite contemporary concepts of stents and antiplatelet therapy. Stent thrombosis (ST) is defined by the Academic Research Concortium as: early (<30 days), late (30 days to 1 year), and vey late (>1 year). Risk of very late stent thrombosis is considerably higher in patients with drug-eluting stents (DES), owing to delayed endothelialization. There are several cases very late ST after bare-metal stent (BMS) implantation. Our patient presented with ST-elevation myocardial infarction on account of BMS thrombosis 14 years after the implantation.
Keywords: Stent thrombosis (ST), Drug-eluting stent (DES), Bare-metal stent (BMS), Percutaneous coronary intervention (PCI), Acute Coronary syndrome (ACS)
Özet
Güncel stent konseptleri ve antiplatelet tedavilerine rağmen stent trombozu perkütan koroner girişimlerden sonra görülen arzu edilmeyen bir komplikasyondur. Stent trombozu, Academic Research Concortium’a göre erken (<30 gün), geç (30 gün ile 1 yıl arasında) ve çok geç dönem (>1 yıl) olmak üzere üçe ayrılmıştır. Gecikmiş endotelizasyona bağlı olarak çok geç dönem stent trombozları ilaç kaplı stentlerde daha fazla görülmektedir. Hastamız çıplak metal kaplı stent implantasyonundan 14 yıl sonra stent trombozuna bağlı ST elevasyonlu myokard infarktüsü ile başvurmuştur.
Anahtar sözcükler: Stent trombozu, ilaç kaplı stent, çıplak metal stent, perkütan koroner girişim, akut koroner sendromAnahtar Kelimeler
Stent thrombosis (ST) Drug-eluting stent (DES) Bare-metal stent (BMS) Percutaneous coronary intervention (PCI) Acute Coronary syndrome (ACS)
Kaynakça
- 1. Pompa JJ, Bhatt DL. Percutaneous Coronary Intervention. In: Bonow RO, Mann DL, Zipes DP, Libby P, Braunwald E, editors. Braunwald’s Heart Disease: Elsevier Saunders; 2012; pp: 1270-90.
- 2. Krishnaswamy A, Kapadia SR. Percutaneous Coronary Intervention. In: Griffin BP, editor. Manual of Cardiovascular medicine. Lippincott Williams & Wilkins; 2013; pp: 1050-1.
- 3. Stone GW, Kirtane AJ. Bare Metal and Drug-Eluting Coronary Stents. In: Topol EJ, Teirstein PS, editors. Texbook of Interventional Cardiology. Elsevier Saunders; 2012; pp: 171-97.
- 4. Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D, Nallamothu BK, Ting HH; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines; Society for Cardiovascular Angiography and Interventions. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol 2011 Dec 6; 58: e44-122.
- 5. Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)1; European Association for Percutaneous Cardiovascular Interventions (EAPCI), Wijns W, Kolh P, Danchin N, Di Mario C, Falk V, Folliguet T, Garg S, Huber K, James S, Knuuti J, Lopez-Sendon J, Marco J, Menicanti L, Ostojic M, Piepoli MF, Pirlet C, Pomar JL, Reifart N, Ribichini FL, Schalij MJ, Sergeant P, Serruys PW, Silber S, Sousa Uva M, Taggart D. Guidelines on myocardial revascularization. Eur Heart J 2010; 31: 2501-55.
- 6. Lemesle G, Pinto Slottow TL, Waksman R. Very late stent thrombosis after baremetal stent implantation: case reports and review of the literature. J Invasive Cardiol 2009; 21: 27-32.
- 7. Aksu T, Başer K, Durukan MK, Şen T, Güray Ü. Very late thrombosis of a bare metal stent despite ongoing aspirin therapy after 10 years of implantation. Cumhuriyet Med J 2012; 34: 481-4.
Öz
Güncel stent konseptleri ve antiplatelet tedavilerine rağmen stent trombozu perkütan koroner girişimlerden sonra görülen arzu edilmeyen bir komplikasyondur. Stent trombozu, Academic Research Concortium’a göre erken (<30 gün), geç (30 gün ile 1 yıl arasında) ve çok geç dönem (>1 yıl) olmak üzere üçe ayrılmıştır. Gecikmiş endotelizasyona bağlı olarak çok geç dönem stent trombozları ilaç kaplı stentlerde daha fazla görülmektedir. Hastamız çıplak metal kaplı stent implantasyonundan 14 yıl sonra stent trombozuna bağlı ST elevasyonlu myokard infarktüsü ile başvurmuştur.
Anahtar Kelimeler
Stent trombozu ilaç kaplı stent çıplak metal stent perkütan koroner girişim akut koroner sendrom
Kaynakça
- 1. Pompa JJ, Bhatt DL. Percutaneous Coronary Intervention. In: Bonow RO, Mann DL, Zipes DP, Libby P, Braunwald E, editors. Braunwald’s Heart Disease: Elsevier Saunders; 2012; pp: 1270-90.
- 2. Krishnaswamy A, Kapadia SR. Percutaneous Coronary Intervention. In: Griffin BP, editor. Manual of Cardiovascular medicine. Lippincott Williams & Wilkins; 2013; pp: 1050-1.
- 3. Stone GW, Kirtane AJ. Bare Metal and Drug-Eluting Coronary Stents. In: Topol EJ, Teirstein PS, editors. Texbook of Interventional Cardiology. Elsevier Saunders; 2012; pp: 171-97.
- 4. Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D, Nallamothu BK, Ting HH; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines; Society for Cardiovascular Angiography and Interventions. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol 2011 Dec 6; 58: e44-122.
- 5. Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)1; European Association for Percutaneous Cardiovascular Interventions (EAPCI), Wijns W, Kolh P, Danchin N, Di Mario C, Falk V, Folliguet T, Garg S, Huber K, James S, Knuuti J, Lopez-Sendon J, Marco J, Menicanti L, Ostojic M, Piepoli MF, Pirlet C, Pomar JL, Reifart N, Ribichini FL, Schalij MJ, Sergeant P, Serruys PW, Silber S, Sousa Uva M, Taggart D. Guidelines on myocardial revascularization. Eur Heart J 2010; 31: 2501-55.
- 6. Lemesle G, Pinto Slottow TL, Waksman R. Very late stent thrombosis after baremetal stent implantation: case reports and review of the literature. J Invasive Cardiol 2009; 21: 27-32.
- 7. Aksu T, Başer K, Durukan MK, Şen T, Güray Ü. Very late thrombosis of a bare metal stent despite ongoing aspirin therapy after 10 years of implantation. Cumhuriyet Med J 2012; 34: 481-4.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Mart 2014 |
| Yayımlandığı Sayı | Yıl 2014Cilt: 36 Sayı: 1 |