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A Case of Ticagrelor Rescue Therapy in a Patient with Subacute Stent Thrombosis

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°íÁرÇ(Ko Jun-Kwon) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±èÁö½Â(Kim Ji-Soong) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Á¤½ÂÁØ(Chung Sung-Jun) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±è¼ºÁ¾(Kim Seong-Jong) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±èº´½Ä(Kim Byung-Sihk) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±èÀ¯½Å(Kim You-Shin) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
½ÅÁ¤ÈÆ(Shin Jeong-Hun) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç

Abstract

³úÁ¹ÁßÀ¸·Î ¾Æ½ºÇǸ°°ú Ŭ·ÎÇǵµ±×·¼À» º¹¿ëÇÏ´ø 71¼¼ ³²ÀÚ È¯ÀÚ¿¡¼­ ±Þ¼º ÇϺ® ½É±Ù°æ»öÁõÀ¸·Î °ü»óµ¿¸Æ ÁßÀç¼úÀ» ½ÃÇàÇÏ¿´´Ù. ½Ã¼ú 7ÀÏ° ±Þ¼º È£Èí°ï¶õ ¹× STºÐÀý »ó½Â ¼Ò°ßÀ¸·Î ½ÃÇàÇÑ °ü»óµ¿¸Æ Á¶¿µ¼ú¿¡¼­ ½ºÅÙÆ® Ç÷ÀüÁõÀ» Áø´Ü ÈÄ ÁßÀç¼úÀ» ½ÃÇàÇÏ¿´´Ù. Ç÷¼ÒÆÇ ±â´É °Ë»ç¿¡¼­ Clopidogrel ÀúÇ×¼ºÀÌ È®ÀÎÇÏ¿´°í ³úÁ¹Áß °ú°Å·ÂÀ» °í·ÁÇØ Ticagrelor·Î ±¸Á¶¿ä¹ý(rescue therapy)À» ½ÃÇàÇÑ Áõ·Ê¸¦ °æÇèÇÏ¿´±â¿¡ ¹®Çå°íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
Stent thrombosis (ST) is a rare but catastrophic complication of a drug-eluting stent. Although dual antiplatelet therapy with aspirin and clopidogrel significantly reduces the occurrence of ST, it continues to occur and is occasionally associated with clopidogrel resistance. Here, we describe a 71-yr-old man with subacute stent thrombosis and clopidogrel resistance following drug-eluting stent implantation who underwent successful ticagrelor rescue therapy.

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¾à¹° ¿ëÃ⼺ ½ºÅÙÆ®, Ç÷Àü, Clopidogrel, Ticagrelor
Drug-Eluting Stents, Thrombosis, Clopidogrel, Ticagrelor
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DOI
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ICD 03
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