Same case as mdr id: 2134265-2018-07228 and 2134265-2018-07229.It was reported that patient experienced chest pain and acute thrombosis occurred.The target lesion was located in the proximal to mid left anterior descending artery (lad).A 2.75x12 synergy ii drug-eluting stent was implanted in the proximal lad.The mid lad was treated with 2.25 x 16mm and a 2.25 x 12mm synergy ii drug-eluting stents.The final angiogram looked great.While the patient was being removed from the table, the patient experienced nausea and chest pain.The physician had ordered the patient to be loaded with aspirin and plavix but the patient refused to take any medication.Some time later, the patient did receive aspirin and plavix.The patient continued to have chest pain and some st elevation.An echo was performed which came back clear but the patient started to show more prominent st elevation.Another angiogram was performed which revealed the stented area had stent thrombosis.The patient was loaded with an integrilin bolus and started on an integrilin drip.A second integrilin bolus was given directly ic and the stented area dilated with a 2.0x12 balloon.The patient's st elevation disappeared, the patient had no chest pain, and the thrombosis was considered resolved.An intravascular ultrasound was performed which revealed the stents were well apposed.
|