Acute ST-Elevation Myocardial Infarction after Coronary Stent Fracture

The invention of the drug-eluting stent (DES) has brought about revolutionary changes in the field of interventional cardiology. In the DES era, in-stent restenosis has declined but new issues such as stent thrombosis have emerged. One of the emerging paradigms in the DES era is stent fracture. Ther...

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Main Authors: Abbasali Rafighdust, Ali Eshraghi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2016-03-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/448
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author Abbasali Rafighdust
Ali Eshraghi
author_facet Abbasali Rafighdust
Ali Eshraghi
author_sort Abbasali Rafighdust
collection DOAJ
description The invention of the drug-eluting stent (DES) has brought about revolutionary changes in the field of interventional cardiology. In the DES era, in-stent restenosis has declined but new issues such as stent thrombosis have emerged. One of the emerging paradigms in the DES era is stent fracture. There are reports about stent fracture leading to in-stent restenosis or stent thrombosis. Most of these reports concern the Sirolimus-eluting stent. The present case is a representation of a Biolimus-eluting stent fracture. We introduce a 64-year-old male patient, for whom the BioMatrix stent was deployed in the right coronary artery. Five months after the implantation, he experienced acute myocardial infarction, with stent fracture leading to stent thrombosis being the causative mechanism. Another DES (Cypher) was used to manage this situation, and the final result was good.
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spelling doaj.art-6de78ee944674dc2a1e1b5af9e50bbb52022-12-22T03:11:53ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712016-03-01104399Acute ST-Elevation Myocardial Infarction after Coronary Stent FractureAbbasali Rafighdust0Ali Eshraghi1Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.The invention of the drug-eluting stent (DES) has brought about revolutionary changes in the field of interventional cardiology. In the DES era, in-stent restenosis has declined but new issues such as stent thrombosis have emerged. One of the emerging paradigms in the DES era is stent fracture. There are reports about stent fracture leading to in-stent restenosis or stent thrombosis. Most of these reports concern the Sirolimus-eluting stent. The present case is a representation of a Biolimus-eluting stent fracture. We introduce a 64-year-old male patient, for whom the BioMatrix stent was deployed in the right coronary artery. Five months after the implantation, he experienced acute myocardial infarction, with stent fracture leading to stent thrombosis being the causative mechanism. Another DES (Cypher) was used to manage this situation, and the final result was good.https://jthc.tums.ac.ir/index.php/jthc/article/view/448Stents • Drug-eluting stents • Treatment failure • Myocardial infarction
spellingShingle Abbasali Rafighdust
Ali Eshraghi
Acute ST-Elevation Myocardial Infarction after Coronary Stent Fracture
Journal of Tehran University Heart Center
Stents • Drug-eluting stents • Treatment failure • Myocardial infarction
title Acute ST-Elevation Myocardial Infarction after Coronary Stent Fracture
title_full Acute ST-Elevation Myocardial Infarction after Coronary Stent Fracture
title_fullStr Acute ST-Elevation Myocardial Infarction after Coronary Stent Fracture
title_full_unstemmed Acute ST-Elevation Myocardial Infarction after Coronary Stent Fracture
title_short Acute ST-Elevation Myocardial Infarction after Coronary Stent Fracture
title_sort acute st elevation myocardial infarction after coronary stent fracture
topic Stents • Drug-eluting stents • Treatment failure • Myocardial infarction
url https://jthc.tums.ac.ir/index.php/jthc/article/view/448
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