Limits...
Complete stent fracture 1 year after LIMA PCI due to LIMA and subclavian artery dissection.

Anagnostou D, Sanidas E, Paizis I, Barbetseas J - Oxf Med Case Reports (2015)

Bottom Line: Predisposing factors usually involve long lesions and tortuous vessels requiring more than one stent.This issue is magnified when it involves a periprocedural iatrogenic left internal mammary artery (LIMA) and subclavian artery dissection.We present a case of complete stent fracture 1 year after LIMA percutaneous coronary intervention due to LIMA and subclavian artery dissection highlighting the circumstantial evidence in the literature that guided our management decisions.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiology , 'Laiko' General Hospital , Athens , Greece.

ABSTRACT
Stent platforms are prone to fracture while incidental data are demonstrating a potential unfavorable outcome. Predisposing factors usually involve long lesions and tortuous vessels requiring more than one stent. This issue is magnified when it involves a periprocedural iatrogenic left internal mammary artery (LIMA) and subclavian artery dissection. In such complex clinical scenarios, the risk of potential complications including stent fractures is thought to be higher, though there is no data to determine the prognosis or to outline the outcomes of any management option. We present a case of complete stent fracture 1 year after LIMA percutaneous coronary intervention due to LIMA and subclavian artery dissection highlighting the circumstantial evidence in the literature that guided our management decisions.

No MeSH data available.


Related in: MedlinePlus

(a) Fluoroscopic image without contrast of the un-fractured stent shortly after implantation. (b) Fluoroscopic image without contrast of the fractured stent 1 year after implantation. White arrows are indicating the exact point of fracture.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4584514&req=5

OMV050F3: (a) Fluoroscopic image without contrast of the un-fractured stent shortly after implantation. (b) Fluoroscopic image without contrast of the fractured stent 1 year after implantation. White arrows are indicating the exact point of fracture.

Mentions: One-year later due to relapsed effort angina, the patient underwent a new coronary angiogram, revealing that all grafts including the stent at the LIMA to LAD anastomosis were patent (Fig. 1c); however, there was a new stenotic lesion at the proximal segment of the left circumflex artery, for which a DES was successfully inserted. Interestingly, there were findings of angulation and horizontal angiographic fracture of the stents at the LIMA ostium and its proximal part, but with nonsignificant restenosis (Figs 2c and 3).Figure 3:


Complete stent fracture 1 year after LIMA PCI due to LIMA and subclavian artery dissection.

Anagnostou D, Sanidas E, Paizis I, Barbetseas J - Oxf Med Case Reports (2015)

(a) Fluoroscopic image without contrast of the un-fractured stent shortly after implantation. (b) Fluoroscopic image without contrast of the fractured stent 1 year after implantation. White arrows are indicating the exact point of fracture.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4584514&req=5

OMV050F3: (a) Fluoroscopic image without contrast of the un-fractured stent shortly after implantation. (b) Fluoroscopic image without contrast of the fractured stent 1 year after implantation. White arrows are indicating the exact point of fracture.
Mentions: One-year later due to relapsed effort angina, the patient underwent a new coronary angiogram, revealing that all grafts including the stent at the LIMA to LAD anastomosis were patent (Fig. 1c); however, there was a new stenotic lesion at the proximal segment of the left circumflex artery, for which a DES was successfully inserted. Interestingly, there were findings of angulation and horizontal angiographic fracture of the stents at the LIMA ostium and its proximal part, but with nonsignificant restenosis (Figs 2c and 3).Figure 3:

Bottom Line: Predisposing factors usually involve long lesions and tortuous vessels requiring more than one stent.This issue is magnified when it involves a periprocedural iatrogenic left internal mammary artery (LIMA) and subclavian artery dissection.We present a case of complete stent fracture 1 year after LIMA percutaneous coronary intervention due to LIMA and subclavian artery dissection highlighting the circumstantial evidence in the literature that guided our management decisions.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiology , 'Laiko' General Hospital , Athens , Greece.

ABSTRACT
Stent platforms are prone to fracture while incidental data are demonstrating a potential unfavorable outcome. Predisposing factors usually involve long lesions and tortuous vessels requiring more than one stent. This issue is magnified when it involves a periprocedural iatrogenic left internal mammary artery (LIMA) and subclavian artery dissection. In such complex clinical scenarios, the risk of potential complications including stent fractures is thought to be higher, though there is no data to determine the prognosis or to outline the outcomes of any management option. We present a case of complete stent fracture 1 year after LIMA percutaneous coronary intervention due to LIMA and subclavian artery dissection highlighting the circumstantial evidence in the literature that guided our management decisions.

No MeSH data available.


Related in: MedlinePlus