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Percutaneous Treatment of an Injured Coronary Stent Using the Looping Wire Technique

Drug-eluting stent implantation is an effective treatment for coronary artery disease, yet unexpected serious complications during stent implantation are possible. A 70-year-old man with unstable angina presented with a left main bifurcation lesion. Two drug-eluting stents were successfully deployed...

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Detalles Bibliográficos
Autores principales: Jung, Lae-Young, Lee, Sang-Rok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chonnam National University Medical School 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881209/
https://www.ncbi.nlm.nih.gov/pubmed/24400216
http://dx.doi.org/10.4068/cmj.2013.49.3.129
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author Jung, Lae-Young
Lee, Sang-Rok
author_facet Jung, Lae-Young
Lee, Sang-Rok
author_sort Jung, Lae-Young
collection PubMed
description Drug-eluting stent implantation is an effective treatment for coronary artery disease, yet unexpected serious complications during stent implantation are possible. A 70-year-old man with unstable angina presented with a left main bifurcation lesion. Two drug-eluting stents were successfully deployed at the left main bifurcation lesion by the mini-crush technique under intravascular ultrasound guidance. However, after removal of the wire and intravascular ultrasound catheter, the stent of the proximal left circumflex artery was damaged and shortened at the distal edge. We used a looping wire technique to cross the injured stent and we successfully re-dilated the damaged portion of the stent. Finally, we deployed an additional drug-eluting stent at the left circumflex artery over the damaged stent. Our case illustrates the importance of gentle handling of devices during coronary intervention. Furthermore, interventionists should keep in mind the role of intravascular ultrasound when treating this kind of serious complication.
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spelling pubmed-38812092014-01-07 Percutaneous Treatment of an Injured Coronary Stent Using the Looping Wire Technique Jung, Lae-Young Lee, Sang-Rok Chonnam Med J Case Report Drug-eluting stent implantation is an effective treatment for coronary artery disease, yet unexpected serious complications during stent implantation are possible. A 70-year-old man with unstable angina presented with a left main bifurcation lesion. Two drug-eluting stents were successfully deployed at the left main bifurcation lesion by the mini-crush technique under intravascular ultrasound guidance. However, after removal of the wire and intravascular ultrasound catheter, the stent of the proximal left circumflex artery was damaged and shortened at the distal edge. We used a looping wire technique to cross the injured stent and we successfully re-dilated the damaged portion of the stent. Finally, we deployed an additional drug-eluting stent at the left circumflex artery over the damaged stent. Our case illustrates the importance of gentle handling of devices during coronary intervention. Furthermore, interventionists should keep in mind the role of intravascular ultrasound when treating this kind of serious complication. Chonnam National University Medical School 2013-12 2013-12-23 /pmc/articles/PMC3881209/ /pubmed/24400216 http://dx.doi.org/10.4068/cmj.2013.49.3.129 Text en © Chonnam Medical Journal, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jung, Lae-Young
Lee, Sang-Rok
Percutaneous Treatment of an Injured Coronary Stent Using the Looping Wire Technique
title Percutaneous Treatment of an Injured Coronary Stent Using the Looping Wire Technique
title_full Percutaneous Treatment of an Injured Coronary Stent Using the Looping Wire Technique
title_fullStr Percutaneous Treatment of an Injured Coronary Stent Using the Looping Wire Technique
title_full_unstemmed Percutaneous Treatment of an Injured Coronary Stent Using the Looping Wire Technique
title_short Percutaneous Treatment of an Injured Coronary Stent Using the Looping Wire Technique
title_sort percutaneous treatment of an injured coronary stent using the looping wire technique
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881209/
https://www.ncbi.nlm.nih.gov/pubmed/24400216
http://dx.doi.org/10.4068/cmj.2013.49.3.129
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