Angioplasty for the late stent thrombosis, the new technical challenge: A single centre experience

Late Angiographic Stent Thrombosis (LAST) following drug-eluting stent is quite a well recognised entity today with most reported cases having occurred following antiplatelet therapy withdrawal late after stent implantation. Angioplasty of these late thrombotic stent occlusions poses a new technical challenge quite different from usual native vessel thrombotic occlusions, an issue that has not been addressed at length primarily due to the limited numbers and stray nature of the reports. We herein report our experience with percutaneous intervention in five such cases of late stent thrombosis > 2 years following drug-eluting stent implantation from a single centre.