The forgotten stent
This is the case of a 78-year-old man with revascularized coronary artery disease 10 years ago (left anterior descending coronary artery and left circumflex artery) who was admitted to the hospital with signs of ST-segment elevation acute coronary syndrome. The angiography shows an unusual image on...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Permanyer
2023-05-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=956 |
| _version_ | 1797829929188982784 |
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| author | Daniel Tébar Alfonso Jurado Román Santiago Jiménez Valero Guillermo Galeote Raúl Moreno |
| author_facet | Daniel Tébar Alfonso Jurado Román Santiago Jiménez Valero Guillermo Galeote Raúl Moreno |
| author_sort | Daniel Tébar |
| collection | DOAJ |
| description | This is the case of a 78-year-old man with revascularized coronary artery disease 10 years ago (left anterior descending coronary artery and left circumflex artery) who was admitted to the hospital with signs of ST-segment elevation acute coronary syndrome. The angiography shows an unusual image on the proximal left anterior descending coronary artery that seems to be causing an angiographically significant stenosis (figure 1A,B). To confirm diagnosis, a catheter is unsuccessfully advanced with optical coherence tomography (OCT) guidance through a polymeric guidewire while trying to cross the most stenotic region. Two attempts are made after predilatation (with balloons of 1.5 mm and 2.5 mm in diameter) that prove unsuccessful. Afterwards, a guide catheter extension system is advanced (figure 1D) that successfully crosses the lesion facilitating the OCT that reveals the presence of an underexpanded coronary stent with complete endothelization, and a possible thrombus attached to it (figure 1C). Upon suspicion that this is the culprit lesion, decision is made to treat it. To crush the underexpanded stent against the lumen of the vessel, it is first effortlessly predilated using a 3.5 mm x 12 mm balloon. Afterwards, a 3.5 mm x 15 mm drug-eluting stent is implanted with good angiographic... |
| first_indexed | 2024-04-09T13:28:00Z |
| format | Article |
| id | doaj.art-ebf6314460534f8baf649249365a9db1 |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-04-09T13:28:00Z |
| publishDate | 2023-05-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-ebf6314460534f8baf649249365a9db12023-05-10T06:47:07ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222023-05-015215815910.24875/RECICE.M22000339The forgotten stentDaniel Tébar0Alfonso Jurado Román1Santiago Jiménez Valero2Guillermo Galeote3Raúl Moreno4Unidad de Cardiología Intervencionista, Hospital Universitario La Paz, Madrid, SpainUnidad de Cardiología Intervencionista, Hospital Universitario La Paz, Madrid, SpainUnidad de Cardiología Intervencionista, Hospital Universitario La Paz, Madrid, SpainUnidad de Cardiología Intervencionista, Hospital Universitario La Paz, Madrid, SpainUnidad de Cardiología Intervencionista, Hospital Universitario La Paz, Madrid, SpainThis is the case of a 78-year-old man with revascularized coronary artery disease 10 years ago (left anterior descending coronary artery and left circumflex artery) who was admitted to the hospital with signs of ST-segment elevation acute coronary syndrome. The angiography shows an unusual image on the proximal left anterior descending coronary artery that seems to be causing an angiographically significant stenosis (figure 1A,B). To confirm diagnosis, a catheter is unsuccessfully advanced with optical coherence tomography (OCT) guidance through a polymeric guidewire while trying to cross the most stenotic region. Two attempts are made after predilatation (with balloons of 1.5 mm and 2.5 mm in diameter) that prove unsuccessful. Afterwards, a guide catheter extension system is advanced (figure 1D) that successfully crosses the lesion facilitating the OCT that reveals the presence of an underexpanded coronary stent with complete endothelization, and a possible thrombus attached to it (figure 1C). Upon suspicion that this is the culprit lesion, decision is made to treat it. To crush the underexpanded stent against the lumen of the vessel, it is first effortlessly predilated using a 3.5 mm x 12 mm balloon. Afterwards, a 3.5 mm x 15 mm drug-eluting stent is implanted with good angiographic...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=956 |
| spellingShingle | Daniel Tébar Alfonso Jurado Román Santiago Jiménez Valero Guillermo Galeote Raúl Moreno The forgotten stent REC: Interventional Cardiology (English Ed.) |
| title | The forgotten stent |
| title_full | The forgotten stent |
| title_fullStr | The forgotten stent |
| title_full_unstemmed | The forgotten stent |
| title_short | The forgotten stent |
| title_sort | forgotten stent |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=956 |
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