Fatal late coronary thrombosis after implantation of a radioactive stent: Postmortem angiographic and histologic findings - Case report

Authors
Wexberg, P Gottsauner-Wolf, M Sulzbacher, I Birner, P Laggner, A Glogar, D
Citation
P. Wexberg et al., Fatal late coronary thrombosis after implantation of a radioactive stent: Postmortem angiographic and histologic findings - Case report, RADIOLOGY, 220(1), 2001, pp. 142-144
Citations number
11
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging","Medical Research Diagnosis & Treatment
Journal title
RADIOLOGY
ISSN journal
00338419 → ACNP
Volume
220
Issue
1
Year of publication
2001
Pages
142 - 144
Database
ISI
SICI code
0033-8419(200107)220:1<142:FLCTAI>2.0.ZU;2-O
Abstract
Postmortem angiography and histologic analysis of a fatal coronary thrombos is 4 months after implantation of a radioactive stent are described. Histol ogic findings suggested incomplete re-endothelialization in the segment wit h the stent. Ionizing radiation may delay re-endothelialization after revas cularization, thus maintaining the thrombogenicity of the irradiated vessel segment. Thus, prolonged antiplatelet therapy should be considered after i ntravascular radiation therapy.