Summary
Dr Gonzalo discusses stent failure, and the role of IVUS in identifying causes of stent thrombosis, using multiple case illustrations.
- Different possible mechanisms underpinning, or contributing to, stent thrombosis:
- Pharmacological factors
- Underexpansion
- Malapposition
- Edge dissections
- Edge stenosis
- Restenosis
- Plaque rupture
- Distinguishing between factors more likely to contribute to early versus late stent thrombosis
- IVUS findings in stent thrombosis
- A systematic approach to interpreting IVUS in cases of stent thrombosis: thrombus, stent, edges
- How IVUS findings can guide treatment for stent thrombosis
- IVUS and OCT characteristics relevant to stent thrombosis
