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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Chonnam National University Medical School
2013
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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. |
format | Online Article Text |
id | pubmed-3881209 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Chonnam National University Medical School |
record_format | MEDLINE/PubMed |
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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