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KMID : 1036020140030010043
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지질.동맥경화학회지
2014 Volume.3 No. 1 p.43 ~ p.48
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Acute Stent Thrombosis after Coronary Stenting in Patients with Acute Coronary Syndrome
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Shin Hyo-Sun
Kim Sang-Hyun
Kim Hack-Lyoung
Seo Jae-Bin
Chung Woo-Young
Zo Joo-Hee
Kim Myung-A
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Abstract
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Acute stent thrombosis after percutaneous coronary intervention (PCI) is still problematic because of the subsequent development of myocardial infarction and poor prognosis. The incidence of acute stent thrombosis, occurring within 0-24hours after PCI, is relatively low, but underlying causes and treatment strategy are not well defined. Multi-vessel disease, ST-elevated myocardial infarction (STEMI), and large thrombotic burden are known risk factors of acute stent thrombosis. Thrombus aspiration, balloon angioplasty and glycoprotein IIb/IIIa receptor blocker could be therapeutic options.Recently we experienced two cases of acute stent thrombosis which developed during PCI with the aggravation of chest pain, and acute stent thrombosis were diagnosed immediately and successfully treated. Here we report two cases of acute stent thrombosis during PCI for one patient with STEMI and the other with acute coronary syndrome, which were successfully treated with thrombus aspiration and intravenous infusion of glycoprotein IIb/IIIa receptor blocker.
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KEYWORD
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Coronary thrombosis, Acute coronary syndrome, Abciximab
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