Eid Nabil, Abdel Wahab Mohamed, Thanu Amardev Singh
Department of Anatomy, Division of Human Biology, School of Medicine, IMU University, Kuala Lumpur 57000, Kuala Lumpur, Malaysia.
Department of Pediatrics, School of Medicine, IMU University, Clinical Campus, Batu Paha 83000, Johor, Malaysia.
World J Cardiol. 2024 Oct 26;16(10):616-618. doi: 10.4330/wjc.v16.i10.616.
In this letter, we comment on a recent case report by Sun in the . The report describes the successful management of a rare complication: The unloading or detachment of a bioresorbable stent (BRS) during percutaneous coronary intervention (PCI) in a male patient. The unloading of BRS was detected angiography and intravascular ultrasound (IVUS) imaging of the left coronary artery and left anterior descending artery. Although this case is interesting, the authors' report lacked crucial details. Specifically, insufficient information about the type of BRS used, potential causes of BRS unloading, or whether optical coherence tomography (OCT) imaging for coronary arteries was performed before, during, or after PCI. The OCT imaging of coronary arteries before PCI can potentially prevent BRS unloading due to its higher resolution compared to IVUS. In addition, despite detecting myocardial bridging during the PCI, the authors did not provide any details regarding this variation. Here we discuss the various types of BRS, the importance of OCT in PCI, and the clinical relevance of myocardial bridging.
在这封信中，我们对Sun近期发表在[期刊名称未给出]上的一篇病例报告发表评论。该报告描述了一例罕见并发症的成功处理：一名男性患者在经皮冠状动脉介入治疗（PCI）期间，生物可吸收支架（BRS）发生卸载或脱离。通过对左冠状动脉和左前降支进行血管造影和血管内超声（IVUS）成像检测到了BRS的卸载。尽管该病例很有意思，但作者的报告缺乏关键细节。具体而言，关于所使用的BRS类型、BRS卸载的潜在原因，或者在PCI之前、期间或之后是否进行了冠状动脉光学相干断层扫描（OCT）成像，信息不足。与IVUS相比，PCI前进行冠状动脉OCT成像可能会预防BRS卸载。此外，尽管在PCI期间检测到了心肌桥，但作者未提供关于此变异的任何细节。在此，我们讨论BRS的各种类型、OCT在PCI中的重要性以及心肌桥的临床相关性。
