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Stent thrombosis following the STAR technique in a complex RCA chronic total occlusion
Author(s) -
Erlich Ilana,
Strauss Bradley H.,
Butany Jagdish
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20820
Subject(s) - medicine , thrombosis , stent , occlusion , cardiology , surgery
Abstract Four drug‐eluting stents were deployed in the right coronary artery (RCA) of a symptomatic young woman who presented with a chronic total occlusion (CTO) of the RCA. The occlusion was successfully crossed using the recently described STAR technique. However, the patient died suddenly 15 hr later. Autopsy demonstrated a long segment of subintimal stenting in the proximal and mid RCA that was intraluminal in the distal vessel. Acute stent thrombosis in the subintimal stents was responsible for sudden death. This case highlights the potential risk of performing extensive subintimal stenting for CTO. © 2006 Wiley‐Liss, Inc.