کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2836894 1164864 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Acute stent thrombosis due to stent underexpansion managed with rotational atherectomy
ترجمه فارسی عنوان
ترومبوز استنت حاد به علت underexpansion استنت مدیریت شده با atherectomy چرخشی
کلمات کلیدی
استنتاج؛ Rotablation
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی پزشکی مولکولی
چکیده انگلیسی


• We illustrate a dramatic consequence of stent underexpansion.
• This is the first report of acute thrombosis in a stent due to underexpansion in the setting of STEMI.
• It was managed by rotational atherectomy within the stent.
• Despite the concerns of rotablation within a stent, it is feasible with good clinical results.

Stent underexpansion is a well known risk factor for stent thrombosis. We report a case of acute stent thrombosis which occurred after primary percutaneous coronary intervention to the right coronary artery for an inferior ST-elevation myocardial infarction. Minutes after completion of the procedure, the patient had acute stent thrombosis, manifested by new chest pain and new ST-elevation. IVUS showed the stent to be underexpanded. Despite high pressure balloon inflation, the stent remained underexpanded. This was then managed with rotational atherectomy within the underexpanded stent, followed by high-pressure balloon dilatation and deployment of another stent within it.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Cardiovascular Revascularization Medicine - Volume 17, Issue 1, January–February 2016, Pages 66–70
نویسندگان
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