Successful management of a rare case of stent fracture and subsequent migration of the fractured stent segment into the ascending aorta in in-stent restenotic lesions of a saphenous vein graft.

Korean Circulation Journal
Hoyoun WonMyeong-Ki Hong

Abstract

Stent fracture is a complication following implantation of drug eluting stents and is recognized as one of the risk factors for in-stent restenosis. We present the first case of successfully managing a stent fracture and subsequent migration of the fractured stent into the ascending aorta that occurred during repeat revascularization for in-stent restenosis of an ostium of saphenous vein graft after implantation of a zotarolimus-eluting stent. Although the fractured stent segment had migrated into the ascending aorta with a pulled balloon catheter, it was successfully repositioned in the saphenous vein graft using an inflated balloon catheter. Then, the fractured stent segment was successfully connected to the residual segment of the zotarolimus-eluting stent by covering it with an additional sirolimuseluting stent.

References

Dec 30, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Georgios SianosPatrick W Serruys
Dec 30, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jiro AokiKazuhiro Hara
Nov 17, 2009·Journal of the American College of Cardiology·Gaku NakazawaRenu Virmani
Dec 22, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Timothy Canan, Michael S Lee
Oct 6, 2010·The American Journal of Cardiology·Tarun ChakravartyRaj Makkar

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Citations

Jul 12, 2013·Cardiology in the Young·Paweł DryżekTomasz Moszura

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Methods Mentioned

BETA
coronary artery bypass

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