Very Late Stent Thrombosis Complicating Immune Thrombocytopenia

Hisanobu Shimazu, MD; Yunosuke Matsuura, MD, PhD; Kohei Moribayashi, MD; Toshihiro Gi, MD, PhD; Yosuke Suiko, MD; Hiroki Tanaka, MD; Soichi Komaki, MD; Tetsunori Ishikawa, MD, PhD; Atsushi Yamashita, MD, PhD; Koichi Kaikita, MD, PhD

JACC: Case Reports (Oct 2023)

Very Late Stent Thrombosis Complicating Immune Thrombocytopenia

Hisanobu Shimazu, MD,
Yunosuke Matsuura, MD, PhD,
Kohei Moribayashi, MD,
Toshihiro Gi, MD, PhD,
Yosuke Suiko, MD,
Hiroki Tanaka, MD,
Soichi Komaki, MD,
Tetsunori Ishikawa, MD, PhD,
Atsushi Yamashita, MD, PhD,
Koichi Kaikita, MD, PhD

Affiliations

Hisanobu Shimazu, MD: Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
Yunosuke Matsuura, MD, PhD: Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan; Address for correspondence: Dr Yunosuke Matsuura, Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, Japan.
Kohei Moribayashi, MD: Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
Toshihiro Gi, MD, PhD: Department of Pathology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
Yosuke Suiko, MD: Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
Hiroki Tanaka, MD: Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
Soichi Komaki, MD: Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
Tetsunori Ishikawa, MD, PhD: Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
Atsushi Yamashita, MD, PhD: Department of Pathology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
Koichi Kaikita, MD, PhD: Division of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

Journal volume & issue: Vol. 24
p. 102017

Abstract

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Immune thrombocytopenia (ITP) carries bleeding and thrombotic risks; however, thromboses associated with ITP have not been histologically examined. This report presents optical coherence tomography images of the culprit lesion and histology of coronary aspirates in very late stent thrombosis complicating severe ITP, providing evidence of platelet-rich thrombus formation. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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