{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T11:11:01Z","timestamp":1780312261772,"version":"3.54.0"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Acute stent thrombosis (ST) represents an infrequent but critical complication occurring within 24\u2009h post\u2010percutaneous coronary intervention (PCI). It is most associated with inadequate antiplatelet therapy, stent underexpansion, or malapposition. We report the case of a patient with acute coronary syndrome treated with PCI under optical coherence tomography guidance, who developed recurrent chest pain and ST\u2010segment elevation 7\u2009h after the initial procedure. Urgent coronary angiography revealed acute ST within the newly implanted stent, despite intravascular imaging\u2010guided PCI and optimal antiplatelet therapy. The most probable cause was an untreated, hemodynamically significant stenosis at the crux of the right coronary artery, distal to the implanted stent. This critical downstream lesion impaired coronary flow, leading to stasis within the long proximal stent and creating a highly prothrombotic environment, ultimately overwhelming even potent glycoprotein IIb\/IIIa inhibition. Post\u2010dilatation of the distal coronary stenosis resulted in improved coronary flow and complete resolution of symptoms, with no recurrence observed during the remainder of the hospitalization. Optimization of PCI using intracoronary imaging and adequate antiplatelet therapy is essential for reducing the incidence of acute ST. However, untreated residual stenoses that significantly impair distal flow may also play a pivotal role in ST formation and should be addressed during the primary procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70603","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T11:01:36Z","timestamp":1775473296000},"page":"2252-2256","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Stent Thrombosis During Glycoprotein IIb\/IIIa Inhibitor Infusion"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9331-978X","authenticated-orcid":false,"given":"Barbara","family":"Zdzierak","sequence":"first","affiliation":[{"name":"Clinical Department of Cardiology and Cardiovascular Interventions University Hospital Krak\u00f3w Poland"},{"name":"Second Department of Cardiology, Institute of Cardiology Jagiellonian University Medical College Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Dziewierz","sequence":"additional","affiliation":[{"name":"Clinical Department of Cardiology and Cardiovascular Interventions University Hospital Krak\u00f3w Poland"},{"name":"Second Department of Cardiology, Institute of Cardiology Jagiellonian University Medical College Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystian","family":"Gruszka","sequence":"additional","affiliation":[{"name":"Clinical Department of Cardiology and Cardiovascular Interventions University Hospital Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Rakowski","sequence":"additional","affiliation":[{"name":"Clinical Department of Cardiology and Cardiovascular Interventions University Hospital Krak\u00f3w Poland"},{"name":"Second Department of Cardiology, Institute of Cardiology Jagiellonian University Medical College Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.10.013"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2023.100971"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1157\/13091890"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.685313"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.07.016"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.12.055"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.122.032300"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hoc.2007.06.002"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2020.0320"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.12.066"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12928-020-00649-3"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.5114\/pwki.2015.52279"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70603","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70603","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70603","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T10:53:02Z","timestamp":1780311182000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70603"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/ccd.70603"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70603","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]},"assertion":[{"value":"2025-09-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}