Complete stent fracture 1 year after LIMA PCI due to LIMA and subclavian artery dissection
نویسندگان
چکیده
Stent platforms are prone to fracture while incidental data are demonstrating a potential unfavorable outcome. Predisposing factors usually involve long lesions and tortuous vessels requiring more than one stent. This issue is magnified when it involves a periprocedural iatrogenic left internal mammary artery (LIMA) and subclavian artery dissection. In such complex clinical scenarios, the risk of potential complications including stent fractures is thought to be higher, though there is no data to determine the prognosis or to outline the outcomes of any management option. We present a case of complete stent fracture 1 year after LIMA percutaneous coronary intervention due to LIMA and subclavian artery dissection highlighting the circumstantial evidence in the literature that guided our management decisions.
منابع مشابه
Coronary artery steal syndrome in patient after coronary arteries by-pass surgery and left subclavian artery stenting: is the maintenance of a patent internal mammary artery still necessary?
[email protected] The use of the left internal mammary artery (LIMA) is preferred for the revascularization of a stenosed or occluded left anterior descending artery (LAD). Occlusion or stenosis of proximal part of the left subclavian artery (LSA) could induce reverse blood flow in LIMA called coronary subclavian steal syndrome (CSSS) and should be revascularized before coronary artery bypass ...
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عنوان ژورنال:
دوره 2015 شماره
صفحات -
تاریخ انتشار 2015