A case of subacute stent thrombosis after drug-coated balloon coronary angioplasty for in-stent restenosis under single anti-platelet therapy

Cardiovasc Interv Ther. 2017 Apr;32(2):170-173. doi: 10.1007/s12928-016-0386-0. Epub 2016 Mar 15.

Abstract

This report describes a case of subacute stent thrombosis (SAT) after drug-coated balloon (DCB). A 79-year-old male was investigated for stable angina. An in-stent restenosis (ISR) lesion was detected by coronary angiography. A skin reaction related to the anti-platelet agent thienopyridine was also observed at this time. Therefore, DCB was used to treat the ISR lesion under single anti-platelet therapy (aspirin). However, 3 days after percutaneous coronary intervention, SAT occurred. OCT did not reveal the underlying cause of SAT. Further data are needed to clarify the optimal duration of dual anti-platelet therapy after DCB.

Keywords: Anti-platelet therapy; Drug-coated balloon; Stent thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / methods*
  • Coronary Angiography
  • Coronary Restenosis / diagnosis
  • Coronary Restenosis / surgery*
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery
  • Drug-Eluting Stents / adverse effects*
  • Graft Occlusion, Vascular / diagnosis
  • Graft Occlusion, Vascular / surgery*
  • Humans
  • Male
  • Non-ST Elevated Myocardial Infarction / diagnosis
  • Non-ST Elevated Myocardial Infarction / surgery*
  • Percutaneous Coronary Intervention / methods*
  • Platelet Aggregation Inhibitors / therapeutic use
  • Reoperation
  • Ticlopidine / therapeutic use*
  • Tomography, Optical Coherence

Substances

  • Platelet Aggregation Inhibitors
  • Ticlopidine