Case Report

Clopidogrel-Induced Neutropenia after Coronary Stenting: Is Cilostazol a Good Alternative?

Figure 1

Upper panel shows the left coronary angiogram in the standard right anterior oblique cranial view. (a) At baseline, anterior descending artery (LAD) demonstrates a critical stenosis involving the origin of the first diagonal branch. (b) After two stents implantation in a “t and small protrusion”(TAP) fashion, good angiographic result can be seen. (c) One year angiographic followup attests that good result is maintained. (d) optical coherence tomography (OCT) analysis of LAD and diagonal branch (4 representative slices) at one year shows good neointimal coverage of the stent struts, without “malapposition”. Lower panel shows the left coronary angiogram in the standard left anterior oblique view. (e) At baseline, critical stenosis of the circumflex artery (LCX) at the level of the first marginal branch is visible. (f) After two stents implantation in a “culotte” fashion, good angiographic result can be seen. (g) One year angiographic followup testifies the maintenance of good angiographic result. (h) optical coherence tomography (OCT) analysis of LAD and diagonal branch (4 representative slices) at one year shows good neointimal coverage of the stent struts, without “malapposition”.
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