Late stent thrombosis in drug-eluting stents is a reality. It occurs more frequently with drug-eluting stents, depending on the criteria used, than with bare metal stents. Late stent thrombosis can take place years after implant, even in patients on platelet antiaggregant agents and the clinical result can be dramatic. However, it is still unclear if this event really increases mortality compared to conventional stenting. The authors describe a case of late thrombosis almost four years after Cypher implantation.
Stents, adverse effects; Coronary restenosis; Coronary thrombosis, etiology; Paclitaxel; Sirolimus