Abstract
Stent thrombosis is a rare but feared complication. While intravascular ultrasound and optical coherence tomography are frequently used to unravel mechanical predisposing factors in patients suffering from this dreadful complication, no information exists on the early pathophysiology of stent thrombosis before coronary flow has been interrupted. We present a case where optical coherence tomography was used to gain novel insights into the earliest stages of stent thrombosis. In our patient with a possible "evolving" stent thrombosis, optical coherence tomography revealed a unique "spider web-like" or "cheese-like" thrombus morphology not previously reported.
MeSH terms
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Abciximab
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Antibodies, Monoclonal / therapeutic use
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Anticoagulants / therapeutic use
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Aspirin / therapeutic use
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Cardiopulmonary Resuscitation
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Clopidogrel
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Coronary Artery Disease / diagnosis*
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Coronary Artery Disease / drug therapy
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Coronary Artery Disease / pathology
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Coronary Thrombosis / diagnosis*
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Coronary Thrombosis / drug therapy
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Coronary Thrombosis / pathology
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Coronary Vessels / pathology*
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Humans
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Immunoglobulin Fab Fragments / therapeutic use
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Male
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Middle Aged
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Platelet Aggregation Inhibitors / therapeutic use
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Risk Factors
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Stents / adverse effects*
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Ticlopidine / analogs & derivatives
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Ticlopidine / therapeutic use
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Tomography, Optical Coherence / instrumentation*
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Tomography, Optical Coherence / methods
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Ultrasonography, Interventional / instrumentation*
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Ultrasonography, Interventional / methods
Substances
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Antibodies, Monoclonal
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Anticoagulants
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Immunoglobulin Fab Fragments
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Platelet Aggregation Inhibitors
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Clopidogrel
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Ticlopidine
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Aspirin
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Abciximab