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Case Report: Optical Coherence Tomography Usage for Treatment of the Chronically Lost Stent in the Left Main Coronary Artery
Acute adverse outcomes of a stent loss during percutaneous coronary intervention (PCI) are well described, however, data on long-term consequences are scarce, especially with intravascular imaging. We report a case of a coronary stent loss in the left main and ostial left circumflex artery (LCx) bif...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866442/ https://www.ncbi.nlm.nih.gov/pubmed/35224057 http://dx.doi.org/10.3389/fcvm.2022.825542 |
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author | Krcmar, Tomislav Grgic Romic, Ivana Tomulic, Vjekoslav Jakljevic, Tomislav Bastiancic, Luka Zeljkovic, Ivan |
author_facet | Krcmar, Tomislav Grgic Romic, Ivana Tomulic, Vjekoslav Jakljevic, Tomislav Bastiancic, Luka Zeljkovic, Ivan |
author_sort | Krcmar, Tomislav |
collection | PubMed |
description | Acute adverse outcomes of a stent loss during percutaneous coronary intervention (PCI) are well described, however, data on long-term consequences are scarce, especially with intravascular imaging. We report a case of a coronary stent loss in the left main and ostial left circumflex artery (LCx) bifurcation and its migration into the LCx ostium during PCI procedures. This rare complication, which was not immediately noticed, was verified and successfully resolved 5 months after using optical coherence tomography and right trans-radial access. Considering the infrequency of this complication, few cases have been reported, however, our case has several distinct specificities. We aim to encourage the crushing technique in cases of chronic stent loss when the retrieval is not an option and highlight the optical coherence tomography (OCT) value in imaging and evaluation of similar complex settings. |
format | Online Article Text |
id | pubmed-8866442 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-88664422022-02-25 Case Report: Optical Coherence Tomography Usage for Treatment of the Chronically Lost Stent in the Left Main Coronary Artery Krcmar, Tomislav Grgic Romic, Ivana Tomulic, Vjekoslav Jakljevic, Tomislav Bastiancic, Luka Zeljkovic, Ivan Front Cardiovasc Med Cardiovascular Medicine Acute adverse outcomes of a stent loss during percutaneous coronary intervention (PCI) are well described, however, data on long-term consequences are scarce, especially with intravascular imaging. We report a case of a coronary stent loss in the left main and ostial left circumflex artery (LCx) bifurcation and its migration into the LCx ostium during PCI procedures. This rare complication, which was not immediately noticed, was verified and successfully resolved 5 months after using optical coherence tomography and right trans-radial access. Considering the infrequency of this complication, few cases have been reported, however, our case has several distinct specificities. We aim to encourage the crushing technique in cases of chronic stent loss when the retrieval is not an option and highlight the optical coherence tomography (OCT) value in imaging and evaluation of similar complex settings. Frontiers Media S.A. 2022-02-10 /pmc/articles/PMC8866442/ /pubmed/35224057 http://dx.doi.org/10.3389/fcvm.2022.825542 Text en Copyright © 2022 Krcmar, Grgic Romic, Tomulic, Jakljevic, Bastiancic and Zeljkovic. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Krcmar, Tomislav Grgic Romic, Ivana Tomulic, Vjekoslav Jakljevic, Tomislav Bastiancic, Luka Zeljkovic, Ivan Case Report: Optical Coherence Tomography Usage for Treatment of the Chronically Lost Stent in the Left Main Coronary Artery |
title | Case Report: Optical Coherence Tomography Usage for Treatment of the Chronically Lost Stent in the Left Main Coronary Artery |
title_full | Case Report: Optical Coherence Tomography Usage for Treatment of the Chronically Lost Stent in the Left Main Coronary Artery |
title_fullStr | Case Report: Optical Coherence Tomography Usage for Treatment of the Chronically Lost Stent in the Left Main Coronary Artery |
title_full_unstemmed | Case Report: Optical Coherence Tomography Usage for Treatment of the Chronically Lost Stent in the Left Main Coronary Artery |
title_short | Case Report: Optical Coherence Tomography Usage for Treatment of the Chronically Lost Stent in the Left Main Coronary Artery |
title_sort | case report: optical coherence tomography usage for treatment of the chronically lost stent in the left main coronary artery |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866442/ https://www.ncbi.nlm.nih.gov/pubmed/35224057 http://dx.doi.org/10.3389/fcvm.2022.825542 |
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