The Double Trouble-Rare Case of Subacute Double Vessel Thrombosis after Implantation of Everolimus Eluting Stents

Ruhail Qadir Bhat, Zulqarnain, Hetan C. Shah

Abstract: This case presents a striking example of how unpredictable coronary events can be, even in a controlled clinical environment. A 72-year-old man, with diabetes and hypertension, developed simultaneous stent thrombosis in both the LAD and RCA merely ten days after successful PCI with everolimus-eluting stents-an occurrence that is quite rare in cardiology practice. It is evident that despite the advances in drug-eluting stents and antiplatelet therapy, such complications remind clinicians of the delicate balance between thrombotic risk and pharmacological response. The patient?s management-ranging from emergency balloon angioplasty to the escalation of dual antiplatelet therapy with Ticagrelor and Tirofiban infusion-demonstrates how swift, evidence-informed decisions can reverse critical hemodynamic instability. This suggests that timely recognition and prompt interventional action remain the most decisive factors in survival. That said, the case also raises questions about the subtle interplay between patient-specific variables, such as drug resistance or vessel pathology, which may still elude current diagnostic clarity. In a broader sense, this case underscores the ongoing need for individualized post-PCI monitoring and adaptive therapy rather than rigid adherence to protocol.

Keywords: stent thrombosis, percutaneous coronary intervention, dual antiplatelet therapy, drug-eluting stent, coronary angioplasty

How to Cite?: Ruhail Qadir Bhat, Zulqarnain, Hetan C. Shah, "The Double Trouble-Rare Case of Subacute Double Vessel Thrombosis after Implantation of Everolimus Eluting Stents", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 1358-1360, https://www.ijsr.net/getabstract.php?paperid=SR251025124250, DOI: https://dx.doi.org/10.21275/SR251025124250