ArticleJACC. Case reports2025
17 Years Not Too Late: A Case of Extremely Late Stent Thrombosis.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
backgroundStent thrombosis (ST) is a serious complication of percutaneous coronary intervention, portending to significant morbidity and mortality with a U-shaped relationship with increased mortality in early and very late ST. CASE SUMMARY: The patient presented with an inferior wall ST-segment elevation myocardial infarction and was found to have ST of a prior drug-eluting stent (DES) 17 years postimplantation. Thrombus was confirmed during angiography and with intravascular ultrasound. It was treated with mechanical thrombectomy, balloon angioplasty, and a second layer of intravascular ultrasound-guided DES with excellent results. DISCUSSION: This was a rare case of very, very late-presenting ST, which occurred 17 years after the index DES. This patient's risk factors include smoking and aspirin interruption. Possible mechanisms were neoatherosclerosis with plaque rupture and impaired re-endothelialization. TAKE-HOME MESSAGE: Unpredictable, extremely late ST can still happen more than 15 years after an index DES. Intraprocedural multimodal imaging remains pivotal in intrastent lesion management.
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