Abstract
Antiplatelet therapy has been shown to reduce cardiac events after coronary stenting.
However, despite aggressive antiplatelet therapy, stent thrombosis remains a serious
complication of coronary stenting with drug-eluting stent (DES). Although several
predictors for DES thrombosis have been suggested by investigators, this serious condition
is still not completely preventable now. In particular, patients undergoing non-cardiac
surgery or invasive procedures with bleeding risk may interrupt antiplatelet therapy
and occasionally experience stent thrombosis.
We report a case of DES thrombosis after cilostazol withdrawal for colonoscopic polypectomy
in a patient previously treated with triple antiplatelet therapy. The patient presented
with acute myocardial infarction but survived after successful emergency coronary
revascularization. We discuss a plausible mechanism for DES thrombosis in the described
case.
Keywords
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Article info
Publication history
Published online: June 27, 2008
Accepted:
March 30,
2008
Received:
February 8,
2008
Identification
Copyright
© 2008 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
