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Hangover after Side Branch Stenting: The Discomfort Comes Afterwards

The authors report on a patient with recurrent angina at rest and on exertion 2 years after percutaneous revascularisation of the first diagonal branch (D1). Invasive coronary angiography with full functional testing was planned with the tentative diagnosis of coronary vascular dysfunction. Coronary...

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Autores principales: Volleberg, Rick, van den Oord, Stijn, Van Geuns, Robert Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Radcliffe Cardiology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9295007/
https://www.ncbi.nlm.nih.gov/pubmed/35866042
http://dx.doi.org/10.15420/icr.2021.32
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author Volleberg, Rick
van den Oord, Stijn
Van Geuns, Robert Jan
author_facet Volleberg, Rick
van den Oord, Stijn
Van Geuns, Robert Jan
author_sort Volleberg, Rick
collection PubMed
description The authors report on a patient with recurrent angina at rest and on exertion 2 years after percutaneous revascularisation of the first diagonal branch (D1). Invasive coronary angiography with full functional testing was planned with the tentative diagnosis of coronary vascular dysfunction. Coronary angiography with functional testing revealed a haemodynamically significant intermediate stenosis at the D1–left anterior descending artery bifurcation. Optical coherence tomography demonstrated neointimal bridging and accelerated downstream atherosclerosis that was induced by protrusion of the previously implanted stent into the main branch. Although the overhanging stent was considered insignificant at first, it caused significant discomfort after 2 years. After provisional stenting of the main branch with crushing of the protruding stent and continuous medical treatment, the patient remained free of recurrent angina.
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spelling pubmed-92950072022-07-20 Hangover after Side Branch Stenting: The Discomfort Comes Afterwards Volleberg, Rick van den Oord, Stijn Van Geuns, Robert Jan Interv Cardiol Coronary The authors report on a patient with recurrent angina at rest and on exertion 2 years after percutaneous revascularisation of the first diagonal branch (D1). Invasive coronary angiography with full functional testing was planned with the tentative diagnosis of coronary vascular dysfunction. Coronary angiography with functional testing revealed a haemodynamically significant intermediate stenosis at the D1–left anterior descending artery bifurcation. Optical coherence tomography demonstrated neointimal bridging and accelerated downstream atherosclerosis that was induced by protrusion of the previously implanted stent into the main branch. Although the overhanging stent was considered insignificant at first, it caused significant discomfort after 2 years. After provisional stenting of the main branch with crushing of the protruding stent and continuous medical treatment, the patient remained free of recurrent angina. Radcliffe Cardiology 2022-07-07 /pmc/articles/PMC9295007/ /pubmed/35866042 http://dx.doi.org/10.15420/icr.2021.32 Text en Copyright © 2022, Radcliffe Cardiology https://creativecommons.org/licenses/by-nc/4.0/This work is open access under the CC-BY-NC 4.0 License which allows users to copy, redistribute and make derivative works for non-commercial purposes, provided the original work is cited correctly.
spellingShingle Coronary
Volleberg, Rick
van den Oord, Stijn
Van Geuns, Robert Jan
Hangover after Side Branch Stenting: The Discomfort Comes Afterwards
title Hangover after Side Branch Stenting: The Discomfort Comes Afterwards
title_full Hangover after Side Branch Stenting: The Discomfort Comes Afterwards
title_fullStr Hangover after Side Branch Stenting: The Discomfort Comes Afterwards
title_full_unstemmed Hangover after Side Branch Stenting: The Discomfort Comes Afterwards
title_short Hangover after Side Branch Stenting: The Discomfort Comes Afterwards
title_sort hangover after side branch stenting: the discomfort comes afterwards
topic Coronary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9295007/
https://www.ncbi.nlm.nih.gov/pubmed/35866042
http://dx.doi.org/10.15420/icr.2021.32
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