Acute stent thrombosis: Should preventative measures start in the emergency department?

Getaw Worku Hassen; Soheila Talebi; Basel Alhadad; Alaleh Azhir; Catherine Ann Jennings; Doris Zavaro; Hossein Kalantari

doi:10.1016/j.ajem.2018.05.006

Acute stent thrombosis: Should preventative measures start in the emergency department?

Am J Emerg Med. 2018 Aug;36(8):1526.e1-1526.e4. doi: 10.1016/j.ajem.2018.05.006. Epub 2018 May 7.

Authors

Getaw Worku Hassen¹, Soheila Talebi², Basel Alhadad³, Alaleh Azhir⁴, Catherine Ann Jennings⁵, Doris Zavaro⁶, Hossein Kalantari⁷

Affiliations

¹ NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, United States; NYU Langone Hospital Brooklyn, Department of Emergency Medicine, United States. Electronic address: Getawworku.Hassen@nychhc.org.
² Mount Sinai St. Luke's Hospital, Department of Cardiology, United States.
³ NYU Langone Hospital Brooklyn, Department of Medicine, Division of Cardiology, United States.
⁴ Johns Hopkins University, Department of Biomedical Engineering, United States.
⁵ Columbia University Postbaccalaureate Premedical Program, United States.
⁶ NYU Langone Hospital Brooklyn, Department of Medicine, United States.
⁷ NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, United States.

PMID: 29776823
DOI: 10.1016/j.ajem.2018.05.006

Abstract

Stent thrombosis is a potentially life threatening condition caused by several factors or a combination factors, such as resistance to platelet agents and type of anticoagulation used as well as stent types. We report a case of acute thrombosis and discuss potential areas of intervention with literature review.

Publication types

Case Reports
Review

MeSH terms

Acute Disease
Aged
Coronary Thrombosis / diagnostic imaging*
Coronary Thrombosis / etiology*
Coronary Thrombosis / surgery
Drug-Eluting Stents / adverse effects*
Electric Countershock
Emergency Medical Services
Humans
Male
Percutaneous Coronary Intervention / adverse effects
ST Elevation Myocardial Infarction / complications
ST Elevation Myocardial Infarction / therapy*
Thrombectomy
Thrombolytic Therapy / methods
Ventricular Fibrillation / therapy