Abstract

Late thrombosis is a rare but a potentially catastrophic complication of coronary stenting procedures.1 It is recognized to occur in both bare metal and drug-eluting stents2 and seems to occur at a low incidence (≈0.6% per year) for at least 3 years postprocedure.3 Intravascular imaging with optical coherence tomography (OCT) can provide high-resolution images (10 to 20 μm) of the coronary vessel wall and is being increasingly used to provide insight into the risks and mechanisms of late stent thrombosis (ST).4 Covered stents are occasionally used in situations where percutaneous intervention has caused coronary perforation or rupture. We present a case of ST within a covered stent associated with an unusual …

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