Abstract

Discontinuation of prolonged dual antiplatelet therapy for a dental extraction; A nearly-fatal decision

Author(s): John Papanikolaou, Nikolaos Platogiannis, Dionysios Gkekas, Nikolaos Barmpatzas, Konstantinos Spathoulas and Dimitrios Platogiannis

Stent thrombosis remains one of the most feared complications in patients with multiple stents implanted. In this clinical setting, optimal upfront dual antiplatelet therapy (DAPT) duration still remains controversial. Herein, we wish to report a case of life-threatening very-late stent thrombosis after DAPT temporary discontinuation, highlighting the prolonged increased thrombotic risk of complex angioplasty, even in otherwise low-ischemic risk patients according to recent recommendations. Our data are in line with novel information and might be useful in the pre-operative management of patients with complex percutaneous coronary intervention (PCI).