真性红细胞增多症患者药物洗脱支架植入术后支架再狭窄1例报告

I. G. A. Ratna Dewi, Tristi Lukita Wening, S. Purwowiyoto
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引用次数: 0

摘要

真性红细胞增多症发生在40-60岁的人群中,大多数是男性。标准是男性红细胞总数≥36 mL/kg、血小板增多、白细胞增多和JAK2突变。我们报告一例真性红细胞增多症病史不详的63岁男性患者,因急性STEMI前来我院就诊,他13天前在另一家医院做了冠状动脉造影,发现他之前的药物洗脱支架(DES)是近端完全支架内再狭窄。为了防止再发缺血事件,我们用替格瑞洛代替氯吡格雷并继续服用阿司匹林。关键词:药物洗脱支架;支架内再狭窄;真性红细胞增多
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In Stent Restenosis After Drug-Eluting Stent Implantation in a Patient with Polycythemia Vera: A Case Report
Polycythemia vera happened in people around 40-60 years old and mostly men. The criteria are total red blood cells ≥36 mL/kg in males, thrombocytosis, leukocytosis, and JAK2 mutation. We present a case of a 63-year-old male with unknown history of polycythemia vera who came to our hospital with acute STEMI anterior, he previously had done a coronary angiogram at another hospital thirteen days ago and found out that his previous drug-eluting stent (DES) was total in-stent restenosis in proximal. To prevent recurrent ischemia events, we replaced Clopidogrel with Ticagrelor and continue Aspirin. Keywords: drug-eluting stent; in-stent restenosis; polycythemia vera
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