Damarkusuma Arditya, Mota Paula, Patel Billal, Oommen Moncy
Department of Cardiovascular Laboratory, Gleneagles Jerudong Park Medical Centre Jerudong, Brunei Darussalam.
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada Yogyakarta, Indonesia.
Interv Cardiol. 2024 Mar 11;19:e04. doi: 10.15420/icr.2023.34. eCollection 2024.
Aorto-ostial lesions, especially in the right coronary artery, may be challenging due to their morphological and anatomical features, more so when there is a previous stent which may be protruding. Little is known about the long-term safety of protruding stents and results of re-intervention. Presented here is a case of restenosis of a markedly protruding stent at the right coronary ostium. This case was unusual in its 10-year longevity. Intravascular ultrasound-guided in-stent restenosis intervention using wire bumper technique was performed. Literature review and management are presented.
主动脉开口处病变，尤其是右冠状动脉的病变，因其形态和解剖特征可能具有挑战性，当存在可能突出的既往支架时更是如此。关于突出支架的长期安全性和再次干预的结果知之甚少。本文介绍了一例右冠状动脉开口处明显突出支架再狭窄的病例。该病例长达10年的病程实属罕见。采用导丝缓冲技术进行血管内超声引导下的支架内再狭窄干预。并进行了文献综述和治疗。
