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Very Late Stent Thrombosis Associated With Stent Fracture and Antiplatelet Treatment Discontinuation

Alfonso Jurado-Román, Ignacio Sánchez-Pérez, María T López-Lluva, Jesús Piqueras-Flores and Fernando Lozano-Ruíz-Poveda

Stent fractures are a rare finding that have been associated with stent thrombosis and restenosis. The majority of descriptions affect to first generation drug eluting stents. Angiographic diagnosis is difficult and should be suspected in patients with risk factors when an angiographic separation of struts is visualized. Intracoronary imaging techniques are very useful and can confirm the diagnosis. We present a case of very late zotarolimus eluting stent thrombosis probably favoured by stent fracture and discontinuation of prasugrel.