Characteristics and outcome of angiographically confirmed stent thrombosis

Rev Esp Cardiol. 2009 Feb;62(2):220-3. doi: 10.1016/s1885-5857(09)71542-7.
[Article in English, Spanish]

Abstract

Retrospective analysis of registry data on angiographically confirmed stent thromboses recorded between 1998 and 2007. In total, 58 cases of stent thrombosis occurred, of which 15 were in drug-eluting stents. Fourteen (24.1%) stent thromboses were acute, 27 (46.6%) were subacute, 9 (15.5%) were late, and 8 (13.8%) were very late. The most common clinical presentation was ST-elevation myocardial infarction (48-82.8%) and 3 (5.2%) patients died during admission. Balloon angioplasty was the most frequently used treatment (25-43.1%). During follow-up (median period, 1.7 years), 9 (16.4%) patients presented with recurrence of the stent thrombosis between 5 and 166 days after the first occurrence. One patient presented with two recurrences and 4 (7.3%) experienced sudden death. In conclusion, stent thrombosis most frequently presented as ST-elevation myocardial infarction, which was not fatal in 95%. There is a high risk of recurrence during the following 6 months.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Angioplasty, Balloon, Coronary
  • Coronary Angiography*
  • Drug-Eluting Stents / adverse effects*
  • Electrocardiography
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / therapy*
  • Recurrence
  • Retrospective Studies
  • Thrombosis / etiology*
  • Thrombosis / therapy*