Document Detail

Subacute drug-eluting stent thrombosis caused by stent underexpansion: evaluation by optical coherence tomography.
MedLine Citation:
PMID:  21423540     Owner:  NLM     Status:  PubMed-not-MEDLINE    
We present the case report of a patient presenting with ST segment elevation myocardial infarction due to a subacute drug-eluting stent trombosis within the proximal segment of the left circumflex artery (LCX). Six days before a total chronic occlusion was treated at the mid segment of the LCX by overlapping two drug-eluting stents. Optical coherence tomography (OCT) was helpful to demonstrate stent underexpansion of the overlaping segment as the main mechanism of early stent thrombosis. This case is illustrative about the potential role of OCT to identify the mechanisms of ST and thus guiding the PCI procedure. Moreover, our case shows the capability of the Imagewire to cross a severe stenosis due to stent underexpansion that could not be crossed by the IVUS catheter.
Roberto Martín-Reyes; Santiago Jiménez-Valero; Felipe Navarro; Raúl Moreno
Publication Detail:
Type:  Journal Article     Date:  2011-02-23
Journal Detail:
Title:  Case reports in medicine     Volume:  2011     ISSN:  1687-9635     ISO Abbreviation:  Case Rep Med     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-22     Completed Date:  2011-07-14     Revised Date:  2013-02-21    
Medline Journal Info:
Nlm Unique ID:  101512910     Medline TA:  Case Rep Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  129341     Citation Subset:  -    
Interventional Cardiology Unit, Fundación Jiménez Díaz University Hospital, Avenida Reyes Católicos 2, 28040 Madrid, Spain.
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