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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Radcliffe Cardiology
2022
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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. |
format | Online Article Text |
id | pubmed-9295007 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Radcliffe Cardiology |
record_format | MEDLINE/PubMed |
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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