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- Pennacchi Mauro
- Department of Cardiovascular and Respiratory Sciences, Policlinico Umberto I, University of Rome “Sapienza”
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- Stio Rocco Edoardo
- Department of Cardiovascular and Respiratory Sciences, Policlinico Umberto I, University of Rome “Sapienza”
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- Lucisano Luigi
- Department of Cardiovascular and Respiratory Sciences, Policlinico Umberto I, University of Rome “Sapienza”
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- Calcagno Simone
- Department of Cardiovascular and Respiratory Sciences, Policlinico Umberto I, University of Rome “Sapienza”
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- Mancone Massimo
- Department of Cardiovascular and Respiratory Sciences, Policlinico Umberto I, University of Rome “Sapienza”
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- Sardella Gennaro
- Department of Cardiovascular and Respiratory Sciences, Policlinico Umberto I, University of Rome “Sapienza”
書誌事項
- タイトル別名
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- DES Thrombosis After Clopidogrel Withdrawal
この論文をさがす
抄録
Drug-eluting stents (DES) have a moderately higher incidence of stent thrombosis compared to bare metal stents (BMS) and very late DES thrombosis has been frequently described. We report a case of a 66 year-old male who experienced very late stent thrombosis at 5 years after paclitaxel-eluting stent (PES) implantation and 3 days after clopidogrel withdrawal. Intravascular ultrasound (IVUS) performed during the index procedure showed that the previously implanted PES was undersized. Since the patient could not take clopidogrel, we treated him with only a noncompliant balloon (3.0 × 15 mm) with optimal expansion as confirmed by IVUS. This case report describes a patient who continued clopidogrel treatment for 5 years and was probably protected from a procedural failure. During the current hospitalization, the patient was found to be a responder to clopidogrel after a platelet function assessment with Multiplate (Dynabyte Informationssysteme GmbH, Munich, Germany).
収録刊行物
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- International Heart Journal
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International Heart Journal 54 (4), 234-236, 2013
一般社団法人 インターナショナル・ハート・ジャーナル刊行会