Wire-Induced Stent Crumpling Remedied By BailOut Crush Stenting; A Case Report | Zendy

Azarisman SMS | Zendy; Rosli MA | Zendy

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Wire-Induced Stent Crumpling Remedied By BailOut Crush Stenting; A Case Report

Author(s) -

Azarisman SMS,

Rosli MA

Publication year - 2011

Publication title -

iium medical journal malaysia

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.139

H-Index - 9

eISSN - 2735-2285

pISSN - 1823-4631

DOI - 10.31436/imjm.v10i2.680

Subject(s) - medicine , stent , cardiology , right coronary artery , myocardial infarction , angioplasty , balloon , artery , ectasia , streptokinase , revascularization , dissection (medical) , surgery , coronary angiography

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.

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