Watabe Hiroaki, Sato Akira, Hoshi Tomoya, Obara Kenichi, Kawamura Ryo, Aonuma Kazutaka
Cardiovascular Division, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Heart Vessels. 2013 Jul;28(4):541-5. doi: 10.1007/s00380-012-0290-1. Epub 2012 Sep 20.
Coronary stent loss during percutaneous coronary intervention is rare and is often associated with significant morbidity. Several retrieval techniques, overlying stent deployment and crushing, and surgical removal can be used to deal with a stent lost in the coronary system. We successfully treated a dislodged and mechanically distorted coil stent stuck within a previously implanted drug-eluting stent (DES) by stent-crush technique. This case might provide insight into the mechanisms responsible for the longitudinal fragility of cobalt alloy and coil-structure stents and stent fracture of DES. In the DES era, careful attention should be paid to such complications when attempting to deliver a stent to a distal vessel through a pre-existing DES.
经皮冠状动脉介入治疗期间冠状动脉支架丢失很少见,且常伴有严重的发病率。几种取出技术,包括覆盖支架置入和挤压以及手术取出,可用于处理冠状动脉系统中丢失的支架。我们通过支架挤压技术成功治疗了一枚卡在先前植入的药物洗脱支架(DES)内的移位且机械变形的线圈支架。该病例可能有助于深入了解钴合金和线圈结构支架纵向易碎以及DES支架断裂的机制。在DES时代,试图通过预先存在的DES将支架输送至远端血管时,应仔细关注此类并发症。