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CORONARY INTERVENTIONS

Acute Absorb bioresorbable vascular scaffold thrombosis in ST-segment elevation myocardial infarction: to stent or not to stent?

EuroIntervention 2014;10:600 published online ahead of print December 2013. DOI: 10.4244/EIJV10I5A103

Thorax Institute, Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain
A 46-year-old male, current smoker, admitted for an inferior ST-elevation myocardial infarction (STEMI), received thrombectomy and Absorb BVS implantation in the mid right coronary artery with a good angiographic result. Although he was pre-treated with a loading dose of clopidogrel (600 mg per os), a loading dose of prasugrel (60 mg) was also administered at the end of the procedure.

Two hours later, the patient presented with a scaffold thrombosis. After thrombectomy and abciximab administration, TIMI flow 3 was restored. Optical coherence tomography (OCT) did not show any mechanical causes and only post-dilatation was performed (Figure 1). The patient remained event-free at 30 days.##...

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