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Chronic stent thrombosis
  1. C E Appleby,
  2. J Sarma,
  3. S Chowdhary
  1. Wythenshawe Hospital, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK
  1. Correspondence to Dr S Chowdhary, Wythenshawe Hospital, University Hospital of South Manchester NHS Foundation Trust, Southmoor Road, Manchester M23 9LT, UK; Saqib.Chowdhary{at}UHSM.NHS.UK

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A 58-year-old woman was admitted electively for an optical coherence tomography (OCT) study to investigate further an episode of presumed stent thrombosis. She had undergone successful recanalisation of a chronically occluded left anterior descending coronary artery a year earlier with multiple drug eluting (Taxus) stents, but had presented with an acute coronary syndrome soon after discontinuation of clopidogrel. Angiography at that time revealed patent stents with TIMI III flow. There was an area of radiolucence within the stented vessel, the significance of which was not clear, …

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