Acute Stent Thrombosis: A Case at the Montlucon Hospital Center
Acute Stent Thrombosis: A Case at the Montlucon Hospital Center作者机构：Cardiology Department Montluon Hospital Center Montluon France Cardiology Department Sylvanus Olympio Teaching Hospital Lom Togo Cardiology Department Campus Teaching Hospital Lom Togo Cardiology Department Kara Teaching Hospital Kara Togo
出 版 物：《World Journal of Cardiovascular Diseases》 (心血管病（英文）)
年 卷 期：2024年第14卷第10期
页 面：681-687页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Coronary Angioplasty Acute Stent Thrombosis Multifactorial Poor Prognosis
摘 要：Background and objective: Coronary angioplasty is one of the techniques introduced in 1976 by Andreas Grüntzig in Zurich. It is a revolutionary procedure that allows coronary circulation to be restored by inserting a stent. This new technique has considerably evolved over time, but sometimes has limitations, such as the development of neo-pathologies like stent thrombosis. The aim of our case report is to highlight one of the limitations of coronary angioplasty, although rare, and to encourage greater clinical and electrical monitoring after each procedure. Case report: We report the case of a patient who presented with early stent thrombosis barely an hour after placement of a pharmacoactive stent. Chest pain reported by the patient after the procedure and electrical changes prompted an urgent repeat procedure. Aetiologies of stent thrombosis are multifactorial, including patient-, procedure- and stent-dependent factors. Conclusion: Although rare, there is a risk of stent thrombosis after coronary angioplasty. Careful monitoring and rigorous follow-up of patients after coronary angioplasty are therefore required, as the prognosis for stent thrombosis is fairly poor.
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