A Rare Case of Coronary Stent Thrombosis in the Modern Era

Abstract

In patients with acute coronary syndrome or obstructive coronary artery disease, stents, especially drug-eluting stents (DESs), are used for percutaneous coronary interventions (PCI). DES prevents abrupt closure of the stented artery. Stent thrombosis is an uncommon but serious complication of PCI, especially with the recent advancement of stent technology. We present a case of a 75-year-old male who initially suffered a non-ST segment elevation myocardial infarction (NSTEMI) treated appropriately with PCI and subsequently developed stent thrombosis after 10 days of initial stent placement. He then underwent emergent repeat PCI with successful replacement of stents overlapping previous stents. The patient did well following the procedure. His clopidogrel was changed to a more potent antiplatelet ticagrelor. He remained stable throughout the hospital stay and was discharged home without any further complications following the next 90 days.

Role of Neuro Navigation in Enhancing Surgical Precision: A Single-Center Experience – A Comprehensive Review Article

“…It has proven particularly invaluable in maximizing tumor removal while conserving vital neurological functions, delineating surgical approaches that minimize risks to essential vessels and structures, and ensuring precise instrument placement in spine surgeries to mitigate post-operative complications (14). In cases of neurological disorders such as Parkinson's disease and epilepsy, Neuronavigation has facilitated targeted interventions, significantly enhancing patient outcomes (15,16). The experience at Shifa International Hospital underscores the transformative impact of Neuronavigation in neurosurgery.…”

Evolutionary trends and innovations in cardiovascular intervention

“…These headsets enable professionals to overlay crucial information directly onto the surgical field, enhancing the understanding of patient anatomy and facilitating navigation through complex structures ( 41 ). During open-heart surgeries or vascular interventions, surgeons can visualize real-time vital data, diagnostic images, and anatomical information, improving precision and reducing the risk of errors ( 42 ). Augmented reality also offers the capability to access detailed three-dimensional maps of the cardiovascular system, allowing for more comprehensive pre-operative planning and a better understanding of anatomical relationships.…”