Wire-induced stent crumpling remedied by bail-out crush stenting; a case report
We report a-56-year old army pensioner who presented initially to a peripheral hospital with acute ST-elevation inferior myocardial infarction thrombolysed with streptokinase. He was subsequently referred to the National Heart Institute (Institut Jantung Negara, Malaysia) for coronary revasculariz...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine, International Islamic University Malaysia
2011
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/17146/ http://irep.iium.edu.my/17146/1/Wire-Induced_Stent_Crumpling_Remedied_By_Bail-Out.pdf |
| Summary: | We report a-56-year old army pensioner who presented initially to a peripheral hospital with acute ST-elevation
inferior myocardial infarction thrombolysed with streptokinase. He was subsequently referred to the National
Heart Institute (Institut Jantung Negara, Malaysia) for coronary revascularization. Coronary angiogram revealed
an ectatic right coronary artery with discrete lesions at the proximal and distal segments stented with bare metal
stents (BMS). Post dilatation shots revealed a wire-induced, distal dissection at the posterior left ventricular
artery remedied by balloon angioplasty but resulting in balloon-induced crumpling of the distal BMS. We discuss
the importance of sequential, distal-to-proximal coronary intervention, stent crumpling and remedial strategies. |
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