Thrombosis of bare metal and patent drug eluting stent in patient operated for colorectal carcinoma: The utility of new guidelines in patients with malignancy

Šikić, Jozica and Starčević, Boris and Ivković, Mira and Sičaja, Mario and Manojlović, Spomenka (2009) Thrombosis of bare metal and patent drug eluting stent in patient operated for colorectal carcinoma: The utility of new guidelines in patients with malignancy. International Journal of Cardiology, [Epub . ISSN 0167-5273 (Print) 1874-1754 (Electronic)

[img]
Preview
PDF
Download (5MB) | Preview

Abstract

Percutaneous coronary intervention with stent placement is widely used to achieve revascularization of the myocardium, especially in acute coronary syndrome. There is increasing number of reports published concerning stent thrombosis both in bare metal stents as in drug eluting stents. According to the newest ACC/AHA/SCAI 2007th guidelines, bare-metal stent or balloon angioplasty is recommended as an optimal solution if surgery is to be performed in 6-12 months time after stent placement. We present a case of a 56-year-old male with colon carcinoma who suffered from post-operational myocardial infarction due to bare metal stent thrombosis, while the drug eluting stent remained patent. Currently, in our opinion, high level evidence is lacking in the literature in support for recommendations published in current ACC, AHA and SCAI 2007th guidelines regarding the choice of stent, antiaggregation and anticoagulation therapy. This case, together with others previously published suggests a need for development of an applicable strategy for selection and treatment of patients with increased perioperative risk of in-stent thrombosis in order to ensure optimal medical treatment.

Item Type: Article
Departments: Katedra za patologiju
Depositing User: Boris Čičovački
Status: Published
Creators:
CreatorsEmail
Šikić, JozicaUNSPECIFIED
Starčević, BorisUNSPECIFIED
Ivković, MiraUNSPECIFIED
Sičaja, MarioUNSPECIFIED
Manojlović, SpomenkaUNSPECIFIED
Date: 14 January 2009
Date Deposited: 26 Jan 2009
Last Modified: 23 Sep 2011 16:10
Subjects: /
Related URLs:
    URI: http://medlib.mef.hr/id/eprint/570

    Actions (login required)

    View Item View Item

    Downloads

    Downloads per month over past year