Abstract
Tel: 2610 999281, e-mail: pdav@otenet.gr Abstract: An octogenarian on double clopidogrel maintenance dose (150 mg qd), due to clopidogrel resistance determined with a point-of-care assay, was subjected to percutaneous intervention (PCI) of the left anterior descending artery with two drug eluting stents. Twenty-four hours latter the patient sustained sub acute stent thrombosis manifesting as an anterior ST-elevation myocardial infarction with cardiogenic shock. Optical coherence tomography disclosed thrombus inside the stent without malapposition. Thrombus aspiration and balloon inflation of the thrombosed stent restored vessel patency. The issue of clopidogrel resistance and methods to overcome it are discussed.
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