Successful Management of a Rare Case of Stent Fracture and Subsequent Migration of the Fractured Stent Segment Into the Ascending Aorta in In-Stent Restenotic Lesions of a Saphenous Vein Graft.
- Author:
Hoyoun WON
1
;
Jaewon OH
;
Youngjun YANG
;
Mihyun KIM
;
Choongki KIM
;
Junbeom PARK
;
Byeong Keuk KIM
;
Donghoon CHOI
;
Myeong Ki HONG
Author Information
- Publication Type:Case Report
- Keywords: Coronary artery disease; Drug-Eluting stents; Complications
- MeSH: Aorta; Catheters; Coronary Artery Disease; Drug-Eluting Stents; Risk Factors; Saphenous Vein; Stents; Transplants
- From:Korean Circulation Journal 2012;42(1):58-61
- CountryRepublic of Korea
- Language:English
- Abstract: Stent fracture is a complication following implantation of drug eluting stents and is recognized as one of the risk factors for in-stent restenosis. We present the first case of successfully managing a stent fracture and subsequent migration of the fractured stent into the ascending aorta that occurred during repeat revascularization for in-stent restenosis of an ostium of saphenous vein graft after implantation of a zotarolimus-eluting stent. Although the fractured stent segment had migrated into the ascending aorta with a pulled balloon catheter, it was successfully repositioned in the saphenous vein graft using an inflated balloon catheter. Then, the fractured stent segment was successfully connected to the residual segment of the zotarolimus-eluting stent by covering it with an additional sirolimuseluting stent.
