A case of repeated stent fracture.
Shohei MigitaNobuhiro MurataKurara TakahashiYuki NakajimaSaki MizobuchiMasatsugu MiyagawaYudai TanakaKatsunori FukumotoRiku AraiTomoyuki MorikawaTakashi MinekiKeisuke KojimaMitsumasa SudoDaisuke FukamachiYasuo OkumuraPublished in: Oxford medical case reports (2024)
Stent fracture is one of the complications of drug-eluting stent implantation. An 84-year-old man underwent coronary angiography for unstable angina. He had diffuse severe stenosis and calcified plaque in the left anterior descending artery and underwent percutaneous coronary intervention (PCI) in the left anterior descending artery for severe stenosis with chest pain. Thereafter, two subsequent stent fractures occurred, so the patient underwent another PCI to cover them. However, a stent fracture was found again one year later. The patient was asymptomatic and PCI was avoided due to the risk of further stent fracture. When a stent fracture occurs, it is important to provide appropriate treatment according to the anatomical findings of the vessel, symptoms and the presence of ischemia.
Keyphrases
- percutaneous coronary intervention
- coronary artery disease
- acute myocardial infarction
- acute coronary syndrome
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- antiplatelet therapy
- hip fracture
- coronary artery bypass grafting
- atrial fibrillation
- case report
- early onset
- low grade
- risk factors
- smoking cessation
- replacement therapy