Very late drug-eluting stent thrombosis post-exercise myocardial perfusion SPECT
Nuclear Cardiology Bullet
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A 66-year-old man was admitted at the hospital because of the acute-onset of moderate intensity chest pain associated with new ECG abnormalities.
The patient had a history of hypertension and overweight. Five years before, he suffered an anterior non-ST segment elevation myocardial infarction. Coronary angiography showed a 90% stenosis in middle left anterior descending coronary artery (LAD), with no significant disease in the other vessels. Percutaneous coronary intervention (PCI) with implantation of a Bare Metal Stent (BMS) was performed at that time. Aspirin, clopidogrel, atenolol and sinvastatin were prescribed. Ten months after his first intervention, he developed severe intrastent restenosis and a Paclitaxel-eluting stent (DES) (Taxus® Boston Scientific) was successfully implanted. The patient underwent asymptomatic thereafter and Clopidogrel was discontinued after 12 months of treatment. Two years after the DES implantation, a Technetium-99m-sestamibi...
KeywordsPercutaneous Coronary Intervention Clopidogrel Leave Anterior Descend Stent Thrombosis Perindopril
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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