Coronary perforation due to sirolimus−eluting stent’s strut rupture with post−dilatation Perforacja tętnicy wieńcowej podczas redylatacji stentu uwalniającego sirolimus
نویسندگان
چکیده
Coronary artery perforation is a rare and dangerous complication of percutaneous coronary intervention. Its consequences may range from minimal dye staining of the pericardial cavity to haemodynamic collapse, and it requires urgent treatment. Nearly half of cases occur due to the use of stiff and hydrophilic guidewires. Perforations due to stent deployment or strut rupture are seen more rarely, but have a more serious prognosis. We present a case of coronary perforation due to rupture of a sirolimus-eluting stent’s strut. The perforated site was occluded immediately with the implantion of two consecutive bare metal stents.
منابع مشابه
Coronary perforation due to sirolimus-eluting stent's strut rupture with post-dilatation.
Coronary artery perforation is a rare and dangerous complication of percutaneous coronary intervention. Its consequences may range from minimal dye staining of the pericardial cavity to haemodynamic collapse, and it requires urgent treatment. Nearly half of cases occur due to the use of stiff and hydrophilic guidewires. Perforations due to stent deployment or strut rupture are seen more rarely,...
متن کاملنتایج بالینی پس از آنژیوپلاستی عروق کرونر، بروز حوادث بزرگ قلبی-عروقی و عوارض انواع استنت
Background: Cardiovascular diseases alone have become the leading cause of death worldwide. One of the treatment methods cardiovascular disease is angioplasty. This study aimed to investigate the clinical results after coronary artery angioplasty, based on the incidence of major cardiovascular events with emphasis on stent types. Methods: In this retrospective cross-sectional study, the preval...
متن کامل[Comparative analysis of intimal hyperplasia after sirolimus-eluting stent and thin-strut bare-metal stent implantation in small coronary arteries].
OBJECTIVE This study aimed at evaluating reduction in intimal hyperplasia volume following angioplasty using sirolimus-eluting stents (Cypher) compared with thin-strut bare-metal stents (Pixel) in patients with small vessels. METHODS Eighty patients with coronary artery disease were prospectively included in two consecutive series, the first using sirolimus-eluting stents (50) and the second ...
متن کاملAssessment of stent strut endothelialization in iliac arteries of rabbits.
BACKGROUND Fast post-implantation stent endothelialization is desirable for theoretically reducing the possibility of stent thrombosis. OBJECTIVE To evaluate the extent of sirolimus-eluting stent strut endothelialization (delivered from the luminal and abluminal aspects or abluminal aspect only) in the iliac arteries of rabbits. METHODS The iliac arteries of 10 rabbits were implanted with f...
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BACKGROUND Refinements in stent design affecting strut thickness, surface polymer, and drug release have improved clinical outcomes of drug-eluting stents. We aimed to compare the safety and efficacy of a novel, ultrathin strut cobalt-chromium stent releasing sirolimus from a biodegradable polymer with a thin strut durable polymer everolimus-eluting stent. METHODS We did a randomised, single-...
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