Review Article

Stent Thrombosis: Incidence, Predictors and New Technologies

Figure 1

An illustration of how catastrophic stent thrombosis can be when it occurs. Panel (a) shows a chronic total occlusion of the left anterior descending coronary artery which was successfully opened (Panel (b)) with the implantation of everolimus-eluting stents (resp., 3.5 × 33 mm and 2.75 × 33 mm). Twenty-four hours following the procedure, the patient became markedly hypotensive and symptomatic for angina, with EKG showing ST elevation in the anterior leads. Panel (c) demonstrates an acute stent thrombosis at the ostium of the vessel. Finally, Panel (d) shows the results following thrombus aspiration and plain optimal balloon angioplasty.
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(a)
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(b)
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(c)
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(d)