Abstract
Protein S deficiency and antiplatelets clopidogrel resistance may uncommonly be responsible for coronary artery thrombosis. Hereby we report a patient presented with coronary disease, who had undergone PCI. However, two days later the patient was found in-stent thrombosis. Primary PCI was performed later with good result, but after 4 months evaluation with treadmill test we found significant ST depression in related region. It was suspected the patient had in-stent re-stenosis incidence. Further hematologic investigation showed that this patient had antiplatelets clopidogrel resistance and protein S deficiency. Double antiplatelet with another kind of antiplatelets and anticoagulant had given in this case. However, the remaining consideration is the choice for reperfusion strategy.
Keywords
sub-acute stent thrombosis, PCI, in-stent re-stenosis, anti-platelets clopidogrel resistance, protein S deficiency
First Page
214
Last Page
220
DOI
10.20473/fmi.v51i4.2949
Publication Date
11-15-2016
Recommended Citation
Kurniawan, M Zakky and Pratanu, Iswanto.
2016
Sub-acute stent thrombosis and in-stent restenosis associated with antiplatelets clopidogrel resistance and protein s deficiency.
Folia Medica Indonesiana. 51,
4 (Dec. 2015 ), 214-220.
Available at: https://doi.org/10.20473/fmi.v51i4.2949
