Longitudinal Stent Deformation in Undeployed Stents: A Case Series

Longitudinal stent deformation (LSD) is a recently reported problem with newer generation stents. The modification of stent materials and designs to make them more deliverable and conformable, as well as a focused approach in retaining their radial strength, has compromised longitudinal strength in...

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Main Authors: Parminder Singh Otaal, Dinakar Bootla
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2021-07-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/1472
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author Parminder Singh Otaal
Dinakar Bootla
author_facet Parminder Singh Otaal
Dinakar Bootla
author_sort Parminder Singh Otaal
collection DOAJ
description Longitudinal stent deformation (LSD) is a recently reported problem with newer generation stents. The modification of stent materials and designs to make them more deliverable and conformable, as well as a focused approach in retaining their radial strength, has compromised longitudinal strength in currently available stents. Additionally, enhanced stent radiopacity, improved fluoroscopy, and heightened awareness have led to an increased incidence rate of the potentially under-recognized problem of LSD. Although originally described in deployed stents, LSD is being recognized in undeployed stents too. With available data to suggest an increased rate of adverse cardiac events like stent thrombosis and in-stent restenosis with LSD in deployed stents, an attempt to retrieve an undeployed deformed stent appears justified. We report 3 cases of LSD in undeployed stents and discuss its recognition. We also discuss the retrieval and visual inspection of retrieved stents and the simultaneous completion of coronary interventions via a double guide technique.
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spelling doaj.art-4c9a297ae61c434193c4612510b5a2cd2022-12-21T23:59:47ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712021-07-0116310.18502/jthc.v16i3.8190Longitudinal Stent Deformation in Undeployed Stents: A Case SeriesParminder Singh Otaal0Dinakar Bootla1Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.Longitudinal stent deformation (LSD) is a recently reported problem with newer generation stents. The modification of stent materials and designs to make them more deliverable and conformable, as well as a focused approach in retaining their radial strength, has compromised longitudinal strength in currently available stents. Additionally, enhanced stent radiopacity, improved fluoroscopy, and heightened awareness have led to an increased incidence rate of the potentially under-recognized problem of LSD. Although originally described in deployed stents, LSD is being recognized in undeployed stents too. With available data to suggest an increased rate of adverse cardiac events like stent thrombosis and in-stent restenosis with LSD in deployed stents, an attempt to retrieve an undeployed deformed stent appears justified. We report 3 cases of LSD in undeployed stents and discuss its recognition. We also discuss the retrieval and visual inspection of retrieved stents and the simultaneous completion of coronary interventions via a double guide technique.https://jthc.tums.ac.ir/index.php/jthc/article/view/1472StentsCoronary Artery DiseaseAngioplasty
spellingShingle Parminder Singh Otaal
Dinakar Bootla
Longitudinal Stent Deformation in Undeployed Stents: A Case Series
Journal of Tehran University Heart Center
Stents
Coronary Artery Disease
Angioplasty
title Longitudinal Stent Deformation in Undeployed Stents: A Case Series
title_full Longitudinal Stent Deformation in Undeployed Stents: A Case Series
title_fullStr Longitudinal Stent Deformation in Undeployed Stents: A Case Series
title_full_unstemmed Longitudinal Stent Deformation in Undeployed Stents: A Case Series
title_short Longitudinal Stent Deformation in Undeployed Stents: A Case Series
title_sort longitudinal stent deformation in undeployed stents a case series
topic Stents
Coronary Artery Disease
Angioplasty
url https://jthc.tums.ac.ir/index.php/jthc/article/view/1472
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