Clinical presentation of stent thrombosis (ST) and its sequela under contemporary
practice have not been fully elucidated largely due to rare incidence of ST. We sought
to assess the characteristics in patients with clinical presentation of ST and their
in-hospital outcomes, utilizing nationwide registration system for percutaneous coronary
interventions (J-PCI). The present study included acute coronary syndrome (ACS) patients
undergoing PCI with clinical findings of definite ST from January 2014 to December
2016. Patients’ characteristics, in-hospital mortality and its composite with periprocedural
complications were evaluated. Full match comparison was performed. During the study
period, 256,610 ACS patients (37.9% of total PCI cases) underwent PCI and 1,367 ST
patients (1.9%) were identified from 73,241 ACS patients’ records who had a history
of previous PCI. Overall, patients with ST were younger but had higher incidence of
previous myocardial infarction, compared with those without. In addition, ST patients
had increased rate of crude in-hospital death (4.8% vs 1.1%, p <0.001). After full
match comparison, the incidence of recurrent ST (post-PCI) was significantly higher
in ST patients when compared with ACS patients presenting without ST (4.3% vs 0.9%,
p <0.001). Despite younger age, patients with ST had significantly higher incidence
of in-hospital mortality and cardiovascular complications, including recurrent ST,
compared with those without.
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Article info
Publication history
Published online: December 09, 2019
Received in revised form:
November 25,
2019
Received:
August 28,
2019
Identification
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© 2019 Elsevier Inc. All rights reserved.