Publication Date

8-1-2017

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-16-6075

PMID

28878581

Publication Date(s)

August 2017

Language

English

PMCID

PMC5577953

PubMedCentral® Posted Date

8-1-2017

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Angioplasty, balloon, coronary/adverse effects; anticoagulants/adverse effects/therapeutic use; coronary thrombosis/diagnostic imaging/prevention & control; percutaneous coronary intervention/adverse effects; stents; time factors; tomography, optical coherence/therapeutic use; treatment outcome

Abstract

Thrombus formation after stent deployment has been linked to the use of heparin and of antithrombotic agents, such as bivalirudin, during percutaneous coronary intervention. Fluoroscopy has been used to identify stent thrombosis, typically after patients become symptomatic. We describe our use of optical coherence tomography to diagnose and evaluate intraprocedural stent thrombosis in a 68-year-old man who was given bivalirudin just before a percutaneous coronary procedure. This imaging method enabled immediate therapeutic intervention.

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