| Inadvertent intracoronary stent extraction 10 months after implantation complicating cutting balloon angioplasty for in-stent restenosis. | |
| | |
MedLine Citation:
|
PMID: 14984717 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We report the case of an unusual complication for Cutting Balloon Angioplasty (CBA) during treatment for instent restenosis (ISR), which resulted in inadvertent intracoronary stent extraction 10 months after implantation. In this case report, CBA was utilized to treat an ISR lesion in the distal right coronary artery (RCA). Due to difficulty in withdrawing the cutting balloon into the guide after treatment of the lesion, the entire system (guide, cutting balloon, and guidewire) was removed as a unit from the body. Upon examination of the system, the previously placed stent in the distal RCA was attached to the microtomes of the cutting balloon. Although the precise mechanisms for stent extraction in this case remain speculative, the initial stent used in the distal RCA may have been undersized, and this may have played a major role in this complication. Although there is limited data regarding the optimal strategy to treat the site of the inadvertent stent extraction, we opted to re-stent the area with a properly-sized coronary stent. Following the intervention, there was no residual stenosis with TIMI 3 flow through the vessel. The patient remained asymptomatic and a serum troponin drawn 18 hours after the procedure was normal, and he was discharged the next day. The interventionist must be vigilant about this rare but serious complication when applying CBA in the treatment of ISR, particularly when an undersized or underdeployed stent is suspected. |
| | |
Authors:
|
Francis Q Almeda; Roger A Billhardt |
Related Documents
:
|
19779287 - Recurrent subacute in-stent restenosis after carotid artery stenting due to plaque prot... 16019087 - Noninvasive assessment of coronary stents in patients by 16-slice computed tomography. 12730637 - Delayed development of a giant coronary pseudoaneurysm after stent placement for chroni... 11435547 - Successful treatment of tips-induced hepatic failure with an hourglass stent-graft: a s... 12740347 - Detection of submucosal gastric fundal varices with multi-detector row ct angiography. 20943337 - Lung perfusion analysis with dual energy ct in patients with suspected pulmonary emboli... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Cardiovascular radiation medicine Volume: 4 ISSN: 1522-1865 ISO Abbreviation: Cardiovasc. Radiat. Med. Publication Date: 2003 Jul-Sep |
Date Detail:
|
Created Date: 2004-02-26 Completed Date: 2004-11-08 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 100888865 Medline TA: Cardiovasc Radiat Med Country: United States |
Other Details:
|
Languages: eng Pagination: 160-3 Citation Subset: IM |
Affiliation:
|
Rush Heart Institute, University Medical Center and Rush Medical College, Chicago, IL, USA. Falmeda@aol.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Angioplasty, Balloon* Blood Vessel Prosthesis Implantation Coronary Angiography Coronary Restenosis / etiology*, radiography, therapy* Coronary Stenosis / radiography, surgery Humans Male Reoperation* Stents / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Systemic targeted delivery of antisense with perflourobutane gas microbubble carrier reduced neointi...
Next Document: Bone marrow and bone marrow derived mononuclear stem cells therapy for the chronically ischemic myoc...