Cases Journal


Open Access Case Report

In-stent thrombosis after 68 months of implantation inspite of continuous dual antiplatelet therapy: a case report

Tarun Nagrani1*, Medhat Zaher2, Sainath Gaddam1, George Jabbour2, Duccio Baldari2, Roberto Baglini3 and Srinivas Duvvuri2

Author Affiliations

1 Department of Medicine, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY-10305, USA

2 Department of Cardiology, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY-10305, USA

3 Department of Cardiology, Istituto Mediterraneo per I Trapianti e le Terapie ad Alta Specializzazione (ISMETT), University of Pittsburgh Medical Center in Italy

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Cases Journal 2010, 3:68 doi:10.1186/1757-1626-3-68

Published: 23 February 2010

Abstract

Lately, there has been an increased incidence of late stent thrombosis; especially following Drug eluting stent (DES) implantation. Several factors are associated with an increased risk of stent thrombosis, including the procedure itself, patient and lesion characteristics, stent design, and premature cessation of anti-platelet drugs. We present a case of late stent thrombosis (LST) following DES implantation after a period of 68 months, making it the longest reported case of LST reported in the literature, despite the use of dual anti-platelet therapy.