Very Late Stent Thrombosis Complicating Immune Thrombocytopenia: Insights From Optical Coherence Tomography and Thrombopathology

Hisanobu Shimazu; Yunosuke Matsuura; Kohei Moribayashi; Toshihiro Gi; Yosuke Suiko; Hiroki Tanaka; Soichi Komaki; Tetsunori Ishikawa; Atsushi Yamashita; Koichi Kaikita

doi:10.1016/j.jaccas.2023.102017

Very Late Stent Thrombosis Complicating Immune Thrombocytopenia: Insights From Optical Coherence Tomography and Thrombopathology

JACC Case Rep. 2023 Sep 12:24:102017. doi: 10.1016/j.jaccas.2023.102017. eCollection 2023 Oct 18.

Affiliations

¹ Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
² Department of Pathology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.

Abstract

Immune thrombocytopenia (ITP) carries bleeding and thrombotic risks; however, thromboses associated with ITP have not been histologically examined. This report presents optical coherence tomography images of the culprit lesion and histology of coronary aspirates in very late stent thrombosis complicating severe ITP, providing evidence of platelet-rich thrombus formation. (Level of Difficulty: Advanced.).

Keywords: drug-eluting stent; immune thrombocytopenia; thrombopoietin receptor agonist; very late stent thrombosis.

Publication types

Case Reports