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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Format: | Article |
Language: | English |
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Tehran University of Medical Sciences
2021-07-01
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Series: | Journal of Tehran University Heart Center |
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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. |
first_indexed | 2024-12-13T04:19:55Z |
format | Article |
id | doaj.art-4c9a297ae61c434193c4612510b5a2cd |
institution | Directory Open Access Journal |
issn | 1735-8620 2008-2371 |
language | English |
last_indexed | 2024-12-13T04:19:55Z |
publishDate | 2021-07-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Journal of Tehran University Heart Center |
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 |
work_keys_str_mv | AT parmindersinghotaal longitudinalstentdeformationinundeployedstentsacaseseries AT dinakarbootla longitudinalstentdeformationinundeployedstentsacaseseries |