Excimer laser coronary angioplasty with manual thrombus aspiration for a case of very late stent thrombosis of sirolimus-eluting stent

Giampaolo Niccoli, Silvia Minelli, Nicola Cosentino, Filippo Crea

Research output: Contribution to journalArticle

Abstract

Very late stent thrombosis occurring after drug-eluting stent implantation is a rare complication. However, it is often associated with poor outcome. Manual thrombectomy has been shown to lower the rate of distal embolization in the case of ST-elevation myocardial infarction of native coronary arteries. However, the presence of abundant thrombus material may lead to manual thrombus aspiration failure. Here, we describe the case of a patient with acute myocardial infarction due to stent thrombosis of a sirolimus-eluting stent occurring 50 months after stent deployment showing abundant thrombus material, which led to manual thrombus aspiration failure and was then successfully treated by excimer laser coronary angioplasty. In these cases, excimer laser coronary angioplasty may be useful due to its ability to dissolve thrombus.

Original languageEnglish
Pages (from-to)830-832
Number of pages3
JournalJournal of Cardiovascular Medicine
Volume13
Issue number12
DOIs
Publication statusPublished - Dec 2012

    Fingerprint

Keywords

  • excimer laser coronary angioplasty
  • manual thrombectomy
  • stent thrombosis
  • thrombus burden

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this