Early Stent Thrombosis after Percutaneous Coronary Intervention (PCI): A Case Report  

Oleh:

Willianto, Andreas ; Hendrata, Martin

Jenis: Article from Journal - ilmiah nasional - tidak terakreditasi DIKTI
Dalam koleksi: Cermin Dunia Kedokteran vol. 44 no. 09 (Sep. 2017), page 629-630.
Topik: Early Stent Thrombosis; Percutaneous Coronary Intervention; Thrombolysis
Fulltext: C04 v44 n9 p629 kelik2017.pdf (169.13KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: C04.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Stent thrombosis is a rare complication but have around 15-45% case fatality rate. Early stent thrombosis in first 24 hours after PCI still accounts for 6-25% from all stent thrombosis cases.This article will discuss a 60 year-old male brought to emergency with chest pain, shortness of breath, and diaphoresis. The chest pain was started 1.5 hours prior to admission felt as a heavy sensation in the chest. The patient has a history of diabetes, hypertension, and dyslipidemia. One week prior to admission, 2 drug eluting stent (DES) on proximal left anterior descending (LAD) and distal left circumflex (LCx) were placed. Clopidogrel and aspirin were consumed routinely as an antiplatelet. The patient diagnosed with early stent thrombosis and cardiogenic shock. Coronary artery bypass graft surgery with 4 grafts was successfully done the day after, intra-aortic balloon pump and temporary pacemaker were reserved until 2 days post-surgery. Clopidogrel was shifted to ticagrelor post-surgery and combined with aspirin. No event of subsequent acute coronary syndrome was observed.

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