ST-elevation myocardial infarction caused by very late stent thrombosis due to drug-eluting stent fr

• 作 者: MA Guo-tian LI Lang WU Xiang-h
• 机 构: Department of Cardiology, First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi 53
• 出 处: 中华医学杂志（英文版）
• 发表日期: 2012年15期
• 关键词: myocardial infarction drug-eluting stents fracture coronary angioplasty

Although the incidence of coronary stent fracture (SF)is relatively rare,the increasing amount of patients undergoing percutaneous coronary intervention (PC1)indicates more cases of SF.The incidence of sirolimus-eluting stent (SES) fracture is reported in 0.89％ to 4.4％ of patients at 6 to 12 months follow-up angiography post-PCl.1,2 Recently,SF has been recognized as a complication that may result in thrombosis,perforation,restenosis,and migration of the stent resulting in morbidity and mortality.Here we describe a rare case presented with ST-elevation myocardial infarction (STEMI),which was caused by very late stent thrombosis due to SES fracture,in order to help the physicians ensure rapid recognition and treatment of this urgent situation.