Incidence of thrombotic stent occlusion during the first three months after sirolimus-eluting stent implantation in 500 consecutive patients - 26/08/11

Doi : 10.1016/j.amjcard.2004.02.013

Evelyn Regar, MD, PhD ^a, Pedro A Lemos, MD ^a, Francesco Saia, MD ^a, Muzaffer Degertekin, MDd ^a, Kengo Tanabe, MD ^a, Chi-Hang Lee, MBBS, MRCP ^a, Chourmouzios A Arampatzis, MD ^a, Angela Hoye, MB, ChB ^a, Georgios Sianos, MD ^a, Pim de Feyter, MD, PhD ^a, Willem J van der Giessen, MD, PhD ^a, Peter C Smits, MD, PhD ^a, Ron T van Domburg, PhD ^a, Patrick W Serruys, MD, PhD ^a,⁎
^a Department of Cardiology, Thoraxcenter, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands

^*Dr. Serruys' address is: Department of Cardiology, Thoraxcenter, Room Bd 418, Erasmus Medical Center Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

Abstract

Sirolimus-eluting stents have been used in our institution for all percutaneous interventions, without clinical or anatomic exclusion criteria, as part of the Rapamycin-Eluting Stent Evaluated At Rotterdam Cardiology Hospital registry. We analyzed the incidence of (sub)acute stent thrombosis after sirolimus-eluting stent implantation in an unselected population of 510 consecutive patients. At 3-month follow-up, (sub)acute stent thrombosis was diagnosed in 2 patients (0.4%) 6 hours and 11 days after the procedure, respectively. These cases occurred in diabetic women with complex coronary lesions. Intravascular ultrasound examination showed inadequate stent expansion and uncovered distal dissection as possible mechanical explanations for the thrombosis.

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Vol 93 - N° 10

P. 1271-1275 - mai 2004 Retour au numéro

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Incidence of thrombotic stent occlusion during the first three months after sirolimus-eluting stent implantation in 500 consecutive patients - 26/08/11

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