Exp Clin Cardiol. 2013;18(1):e57-9.

Cocaine-induced coronary stent thrombosis.

Experimental and clinical cardiology

Morhaf Ibrahim, Reham Hasan, Mustafa Awan

PMID: 24294053 PMCID: PMC3716507

Abstract

Cocaine is the most commonly abused drug in patients presenting to emergency rooms. Compliance with medical instructions and medications is poor in patients who use cocaine. A case involving a 41-year-old cocaine user who developed subacute stent thrombosis is described. The patient underwent bare metal stent implantation three days before presentation and had confirmed compliance with dual antiplatelet therapy. The stent thrombosis was treated with a manual and mechanical thrombectomy, in addition to percutaneous transluminal coronary angioplasty. Given the issue of compliance and the increased evidence of cocaine-induced thrombosis in native vessels and stents, it is recommended that balloon angioplasty alone should be the treatment of choice when intervention is required.

Keywords: Cocaine; Myocardial infarction; Stent thrombosis

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Publication Types

• Case Reports