Subacute Stent Thrombosis in a Clopidogrel Resistant Octogenarian

Authors

  • Periklis A Davlouros Patras University Hospital
  • Eleni Mavronasiou Patras University Hospital
  • Vasileios Karantalis Patras University Hospital
  • Gerasimos Dimitropoulos Patras University Hospital
  • Dimitrios Alexopoulos Patras University Hospital

DOI:

https://doi.org/10.2015/hc.v5i3.211

Abstract

Tel: 2610 999281, e-mail: pdav@otenet.gr
Abstract: An octogenarian on double clopidogrel maintenance dose (150 mg qd), due to clopidogrel resistance determined with a point-of-care assay, was subjected to percutaneous intervention (PCI) of the left anterior descending artery with two drug eluting stents. Twenty-four hours latter the patient sustained sub acute stent thrombosis manifesting as an anterior ST-elevation myocardial infarction with cardiogenic shock. Optical coherence tomography disclosed thrombus inside the stent without malapposition. Thrombus aspiration and balloon inflation of the thrombosed stent restored vessel patency. The issue of clopidogrel resistance and methods to overcome it are discussed.

Downloads

Published

2010-07-18

Issue

Vol. 5 No. 3 (2010)

Section

CASE REPORTS

License

Authors who publish with this journal agree to the following terms:

a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).