The potential of surgical strategy for incomplete stent apposition after implantation of a sirolimus eluting stent

被引：0
作者：
Nagai T. [1 ]
Shibata M. [1 ]
Suzuki S. [2 ]
Matsubara T. [1 ]
机构：
[1] Department of Cardiology, Hiratsuka City Hospital, Hiratsuka, Kanagawa 254-0065
[2] Department of Cardiovascular Surgery, Hiratsuka City Hospital, Kanagawa
来源：
Cardiovascular Intervention and Therapeutics | 2011年 / 26卷 / 2期
关键词：
Coronary artery bypass grafting; Incomplete stent apposition; Sirolimus eluting stent; Very late stent thrombosis;
D O I：
10.1007/s12928-010-0047-7
中图分类号：
学科分类号：
摘要：
Sirolimus-eluting stents (SES) had been implanted in the left anterior descending artery of a 77-year-old male. Three years later, he was admitted for ST elevation myocardial infarction caused by stent thrombosis accompanied with incomplete stent apposition (ISA), and balloon angioplasty had to be performed on him. However, 6 months later, he was admitted for angina. There was progression of ISA and severe stenosis. Considering the allergic reaction to the polymer of the SES, or the risk of future stent thrombosis, coronary artery bypass grafting was selected for the revascularization. One year after the procedure, he felt no symptoms and the bypass graft was patent. A surgical strategy may be considered for recurrence of coronary events accompanied with ISA after stent implantation. © 2010 Japanese Association of Cardiovascular Intervention and Therapeutics.
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页码：157 / 161
页数：4
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