Seeing Is Believing: Optical Computed Tomography (OCT) and Histologic Analysis To Define Pathophysiology Of “Very”, Very Late Stent Thrombosis Occurring More Than 7 Years After Drug Eluting Stent Implantation
- 58-year-old male with prior non-ST elevation MI with PCI performed using a sirolimus eluting stent placed in a large OM1 branch 86 months prior presented with five hours chest pain similar to prior MI >7 years earlier.
- Additional history of hypertension, hyperlipidemia, non-compliance with antiplatelet therapy and active tobacco abuse at time of presentation.
- Patient reported self-discontinuation of medications (aspirin (time unknown), statin, beta blocker) and resumed smoking.
- Clopidogrel was discontinued by his primary physician 97 days prior to presentation
- Initial electrocardiogram revealed a lateral ST elevation MI and the patient was taken to the cardiac catheterization lab for urgent coronary angiography.
Recommended CitationKaliyadan, MD, Antony G.; Vishnevsky, MD, Alec; Siu, MD, Henry; Fishman, MD, David; Farber, MD, John; Ruggiero II, MD, Nicholas; and Savage, MD, Michael P., "Seeing Is Believing: Optical Computed Tomography (OCT) and Histologic Analysis To Define Pathophysiology Of “Very”, Very Late Stent Thrombosis Occurring More Than 7 Years After Drug Eluting Stent Implantation" (2014). Department of Pathology, Anatomy and Cell Biology Faculty Papers. Paper 151.