A case of repeated stent fracture

Author:

Migita Shohei1ORCID,Murata Nobuhiro1,Takahashi Kurara1,Nakajima Yuki1,Mizobuchi Saki1,Miyagawa Masatsugu1,Tanaka Yudai1,Fukumoto Katsunori1,Arai Riku1,Morikawa Tomoyuki1,Mineki Takashi1,Kojima Keisuke1,Sudo Mitsumasa1,Fukamachi Daisuke2,Okumura Yasuo1

Affiliation:

1. Nihon University School of Medicine Division of Cardiology, Department of Internal Medicine, , Ohyaguchi-kamicho, Itabashi-ku, Tokyo 173-8610, Japan

2. Nihon University Hospital Department of Cardiology, , Kanda-surugadai, Chiyoda-ku, Tokyo 101-8309, Japan

Abstract

Abstract Stent fracture is one of the complications of drug-eluting stent implantation. An 84-year-old man underwent coronary angiography for unstable angina. He had diffuse severe stenosis and calcified plaque in the left anterior descending artery and underwent percutaneous coronary intervention (PCI) in the left anterior descending artery for severe stenosis with chest pain. Thereafter, two subsequent stent fractures occurred, so the patient underwent another PCI to cover them. However, a stent fracture was found again one year later. The patient was asymptomatic and PCI was avoided due to the risk of further stent fracture. When a stent fracture occurs, it is important to provide appropriate treatment according to the anatomical findings of the vessel, symptoms and the presence of ischemia.

Publisher

Oxford University Press (OUP)

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