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

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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.

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Authors and Affiliations

  1. Division of Cardiology, Cardiovascular Center, Akane Foundation Tsuchiya General Hospital, 3-30 Nakashima-cho, Nakaku, Hiroshima, 730-8655, Japan

    Yuzo Kagawa, Nobuo Shiode, Tomoharu Kawase, Hiromichi Tamekiyo, Tomokazu Okimoto & Yasuhiko Hayashi

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  1. Yuzo Kagawa
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  2. Nobuo Shiode
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  3. Tomoharu Kawase
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  4. Hiromichi Tamekiyo
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  5. Tomokazu Okimoto
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  6. Yasuhiko Hayashi
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Correspondence to Yuzo Kagawa.

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Kagawa, Y., Shiode, N., Kawase, T. et al. A case of subacute stent thrombosis after drug-coated balloon coronary angioplasty for in-stent restenosis under single anti-platelet therapy. Cardiovasc Interv and Ther 32, 170–173 (2017). https://doi.org/10.1007/s12928-016-0386-0

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  • DOI: https://doi.org/10.1007/s12928-016-0386-0

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