Omar Rana, Andrew Whittaker, Peter O`kane.
Late drug eluting stent thrombosis: more than meets the eye?.
Pak Heart J Jan ;51(2):179-81.

Under expanded stents are in consequence of a non-dilatable fibrocalcific lesion. These are not uncommon, pose a technical challenge and are associated with adverse procedural and long-term clinical outcomes. Excimer coronary laser atherectomy has well-established role in treating under expanded stents to achieve successful diltatation. We describe a case report in which a patient with an under expanded stent presented with an acute stent thrombosis resulting in a large thrombus burden. We utilized excimer coronary laser atherectomy in successfully treating both the under expanded stent to achieve maximal dilatation as well as the associated large thrombus burden. Intra coronary imaging in the form of optical coherence tomography was undertaken throughout the case.

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