Meng LP, Wang P, Peng F. Acute coronary artery stent thrombosis caused by a spasm: A case report. World J Clin Cases 2022; 10(9): 2923-2930 [PMID: 35434099 DOI: 10.12998/wjcc.v10.i9.2923]
Corresponding Author of This Article
Fang Peng, MD, Chief Doctor, Department of Cardiology, Shaoxing People’s Hospital, No. 568 Zhongxing North Road, Shaoxing 312000, Zhejiang Province, China. sxrmyypf@126.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 26, 2022; 10(9): 2923-2930 Published online Mar 26, 2022. doi: 10.12998/wjcc.v10.i9.2923
Acute coronary artery stent thrombosis caused by a spasm: A case report
Li-Ping Meng, Ping Wang, Fang Peng
Li-Ping Meng, Ping Wang, Fang Peng, Department of Cardiology, Shaoxing People's Hospital, Shaoxing 312000, Zhejiang Province, China
Author contributions: Meng LP, Wang P, and Peng F performed the operation and attended the patient together; Meng LP wrote the paper.
Supported bythe National Natural Science Foundation of China, No. 82000252.
Informed consent statement: The patient provided informed consent for publication of the case.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, and build upon this work non-commercially as well as license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fang Peng, MD, Chief Doctor, Department of Cardiology, Shaoxing People’s Hospital, No. 568 Zhongxing North Road, Shaoxing 312000, Zhejiang Province, China. sxrmyypf@126.com
Received: October 7, 2021 Peer-review started: October 7, 2021 First decision: December 17, 2021 Revised: December 25, 2021 Accepted: February 20, 2022 Article in press: February 20, 2022 Published online: March 26, 2022 Processing time: 166 Days and 6.9 Hours
Core Tip
Core Tip: Acute stent thrombosis (AST) is a serious complication of percutaneous coronary intervention (PCI). The causes of AST include the use of stents of inappropriate diameters, multiple overlapping stents, or excessively long stents; incomplete stent expansion; poor stent adhesion; incomplete coverage of dissection; formation of thrombosis or intramural hematomas; vascular injury secondary to intraoperative mechanical manipulation; insufficient dose administration of postoperative antiplatelet medications; and resistance to antiplatelet drugs. Cases of AST secondary to coronary artery spasms are rare. We report a case of AST in a 52-year-old man possibly caused by a coronary artery spasm. Coronary spasms can cause both AMI and AST. For patients with coronary spasms during PCI, diltiazem administration could reduce spasms and prevent future AST.
