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KMID : 0882420160900040322
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Korean Journal of Medicine
2016 Volume.90 No. 4 p.322 ~ p.325
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Simultaneous Multivessel Acute Stent Thrombosis in a Patient with Gastrointestinal Bleeding
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김준영:Kim Jun-Young
김혜인:Kim Hye-In/김지원:Kim Ji-Won/김진혜:Kim Jin-Hae/김영남:Kim Young-Nam/송영빈:Song Young-Bin/김준수:Kim June-Soo
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Abstract
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Stent thrombosis is a rare, but potentially catastrophic complication of stent implantation. Dual antiplatelet therapy with aspirin and a thienopyridine (clopidogrel, prasugrel, or ticagrelor) is essential to minimize the risk of stent thrombosis in patients receiving drug-eluting stents. However, there is an ongoing debate regarding antiplatelet therapy in patients presenting with acute coronary syndrome and bleeding. Here, we report a case of a 59-year-old man with acute stent thrombosis immediately after percutaneous coronary intervention combined with acute coronary syndrome and gastrointestinal bleeding.
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KEYWORD
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Stent thrombosis, Percutaneous coronary intervention, Drug-eluting stent, Gastrointestinal hemorrhage, Blood transfusion
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