Agostoni, Pierfrancesco

Belkacemi, Anouar

Stella, Pieter R.

Timmers, Leo

Elsevier - Publisher Connector 

Journal of the American College of Cardiology Vol. 61, No. 17, 2013
© 2013 by the American College of Cardiology Foundation ISSN 0735-1097/$36.00IMAGES IN CARDIOLOGY
Optical Coherence Tomography Imaging of Acute
Stent Thrombosis After Stentys Stent Implantation
Leo Timmers, MD, PHD, Anouar Belkacemi, MD, Pierfrancesco Agostoni, MD, PHD,
Pieter R. Stella, MD, PHD
Utrecht, the Netherlands
From the Department of
Cardiology, University
Medical Centre Utrecht,
Utrecht, the Netherlands.
Manuscript received
September 6, 2012; revised
manuscript received
September 17, 2012, accepted
September 25, 2012.
A56-year-old man was referred to our catheterization laboratory for percutaneous coronaryintervention because of stable angina caused by a stenosis of the proximal left anteriordescending coronary artery (A, Online Video 1). The patient was pre-treated with aspirin
and clopidogrel and heparin peri-procedural as per routine. After pre-dilation, a Stentys self-
expandable drug-eluting stent (Stentys S.A., Paris, France) was placed in the left main coronary
artery and proximal left anterior descending coronary artery, followed by post-dilation, with a good
angiographic result (B, Online Video 2). Optical coherence tomography revealed an image of a
freshly placed stent with uncovered stent struts. However, multiple small red (red blood cell–rich)
thrombi on the stent struts were observed (C, D, Online Video 3). Despite additional intravenous
and intracoronary treatment with bivalirudin, the patient experienced acute chest pain 3 h later due
to occlusion of the left coronary artery caused by stent thrombosis. Despite successful recanalization
of the occlusion, the patient died shortly after due to irreversible cardiogenic shock.
Published by Elsevier Inc. http://dx.doi.org/10.1016/j.jacc.2012.09.076


Optical Coherence Tomography Imaging of Acute Stent Thrombosis After Stentys Stent Implantation 

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Optical Coherence Tomography Imaging of Acute Stent Thrombosis After Stentys Stent Implantation

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