caa a22 4500 606220682 CHVBK 20210128101125.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00380-014-0545-0 doi (NATIONALLICENCE)springer-10.1007/s00380-014-0545-0 Simultaneous occlusion of left anterior descending and left circumflex arteries by very late stent thrombosis: vascular response to drug-eluting stents assessed by intravascular ultrasound [Elektronische Daten] [Masahiro Yamawaki, Yoshinobu Onuma, Masatsugu Nakano, Takashi Muramatsu, Shimpei Nakatani, Yuki Ishibashi, Hiroshi Ishimori, Keisuke Hirano, Yoshiaki Ito, Reiko Tsukahara, Toshiya Muramatsu] Very late stent thrombosis (VLST) is a catastrophic complication after implantation of a drug-eluting stent (DES). It has been reported that VLST is associated with pathological changes, which often include late acquired incomplete stent apposition (LAISA) with thrombus formation. In addition, the vascular response to the stent (evaginations, neointimal growth, and thrombosis) and the incidence of LAISA are reported to vary among the different types of DES. We experienced a patient with cardiogenic shock induced by simultaneous VLST of both the left anterior descending artery (LAD) and the left circumflex artery (LCX) at 3years after implantation of two sirolimus-eluting stents. Intravascular ultrasound (IVUS) showed LAISA of both arteries. A paclitaxel-eluting stent, which had been implanted in the right coronary artery 3years earlier, did not show such a finding. IVUS revealed "different vascular reactions” to "different types of DES” in this patient. Springer Japan, 2014 Acute myocardial infarction nationallicence Drug-eluting stent nationallicence Very late stent thrombosis nationallicence Intravascular ultrasound nationallicence Yamawaki Masahiro Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut Onuma Yoshinobu Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands aut Nakano Masatsugu Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut Muramatsu Takashi Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands aut Nakatani Shimpei Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands aut Ishibashi Yuki Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands aut Ishimori Hiroshi Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut Hirano Keisuke Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut Ito Yoshiaki Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut Tsukahara Reiko Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut Muramatsu Toshiya Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut Heart and Vessels Springer Japan 30/6(2015-11-01), 824-829 0910-8327 30:6<824 2015 30 380 https://doi.org/10.1007/s00380-014-0545-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00380-014-0545-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yamawaki Masahiro Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut NATIONALLICENCE 700 1- Onuma Yoshinobu Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Nakano Masatsugu Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut NATIONALLICENCE 700 1- Muramatsu Takashi Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Nakatani Shimpei Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Ishibashi Yuki Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Ishimori Hiroshi Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut NATIONALLICENCE 700 1- Hirano Keisuke Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut NATIONALLICENCE 700 1- Ito Yoshiaki Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut NATIONALLICENCE 700 1- Tsukahara Reiko Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut NATIONALLICENCE 700 1- Muramatsu Toshiya Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama, Japan aut NATIONALLICENCE 773 0- Heart and Vessels Springer Japan 30/6(2015-11-01), 824-829 0910-8327 30:6<824 2015 30 380