A 56 Year Old Male with Acute Stent Thrombosis During Percutaneous Coronary Intervention, How to Resolve This Problem?

Background: Acute stent thrombosis is the complete occlusion of a coronary artery previously implanted stent. This unusual complication occurs in percutaneous intervention (PCI), development myocardial ischemia, and poor prognosis for patient. After PCI, acute can occur within 0-24 hours cause symptoms like syndrome. Incidents are about 0.6% to 3.4% Drug Eluting Stent (DES) implantation, depending on lesion patient factors. The etiology multifactorial, early detection reduce mortality rate. Case Illustration: A 56 yo male visited Rumah Sakit Saiful Anwar Malang with stable angina pectoris (Class III medical therapy) planned elective cardiac catheterization routine treatment. During he complained chest pain, from cine angiography evaluation showed no flow at diagonal branch because thrombosis. Then got thrombosuction white thrombus. PCI procedure, fibrinolytic streptokinase 1.5 million units 60 minutes. He was transferred CVCU observation discharged after five days. Conclusion: severe during it related high mortality. mechanisms by which ST arises complex multifactorial must be detection.