Bare-metal stent thrombosis two decades after stenting
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Case report
A 68-year-old non-diabetic, normotensive, ex-smoking male patient was admitted to our coronary care unit complaining of chest pain of one hour onset, which was unresponsive to nitroglycerin. This patient’s history included a bare-metal stent implantation for a proximal LAD lesion 20 years previously. He had been discharged on acetyl salicylic acid; however, one month later, he discontinued antiplatelet medication and stopped attending his control visits.

The electrocardiogram showed acute anterior myocardial infarction , and an immediate coronary angiography showed total occlusion of the implanted stent in the proximal LAD . Balloon angioplasty was therefore performed (Alvimedica balloon, 3 × 15 mm). TIMI 3 (thrombolysis in myocardial infarction) coronary flow was achieved ; however, there appeared to be a need to perform percutaneous transluminal coronary angioplasty (PTCA) for the diagonal coronary artery branch (Advancer Hp balloon, 2 × 15 mm). Plaques were found on the right and circumflex coronary arteries. Following the administration of a bolus, tirofiban infusion was initiated post-procedurally and was continued for 24 hours....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4759303/
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