Wire-induced stent crumpling remedied by bail-out crush stenting; a case report

Mohd Shah, Azarisman Shah and Mohd Ali, Rosli (2011) Wire-induced stent crumpling remedied by bail-out crush stenting; a case report. International Medical Journal Malaysia, 10 (2). ISSN 1823-4631

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Abstract

We report a-56-year old army pensioner who presented initially to a peripheral hospital with acute ST-elevation inferior myocardial infarction thrombolysed with streptokinase. He was subsequently referred to the National Heart Institute (Institut Jantung Negara, Malaysia) for coronary revascularization. Coronary angiogram revealed an ectatic right coronary artery with discrete lesions at the proximal and distal segments stented with bare metal stents (BMS). Post dilatation shots revealed a wire-induced, distal dissection at the posterior left ventricular artery remedied by balloon angioplasty but resulting in balloon-induced crumpling of the distal BMS. We discuss the importance of sequential, distal-to-proximal coronary intervention, stent crumpling and remedial strategies.

Item Type:	Article (Journal)
Additional Information:	3808/17146
Uncontrolled Keywords:	Stents, angioplasty, complications
Subjects:	R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Mr iskhandar adnan
Date Deposited:	26 Jan 2012 16:38
Last Modified:	27 Jun 2013 15:51
URI:	http://irep.iium.edu.my/id/eprint/17146

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