Author(s): BalaguerMalfagn JR, PomarDomingo F, VilarHerrero JV, Planasdel Viejo AM, PrezFernndez E
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Abstract Coronary stent thrombosis is a catastrophic complication of percutaneous coronary intervention. Its incidence is reported to be about 1\%, though it can occur more frequently in high-risk patients, in high-risk lesions, and in multivessel procedures. We investigated the occurrence of stent thrombosis in 404 consecutive patients in a period when conventional and drug-eluting stents were both being used. We found an overall incidence of 2.23\%, a mortality rate of 22.2\%, and a non-fatal myocardial infarction rate of 66.6\%. Predictors of stent thrombosis were acute myocardial infarction, multiple stent placement, poor ejection fraction, small stent diameter, the presence of residual dissection, and premature discontinuation of clopidogrel.
This article was published in Rev Esp Cardiol
and referenced in Biochemistry & Physiology: Open Access