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Novel use of a stent graft for uncontrollable intraprocedural stent thrombosis in a patient with acute myocardial infarction
Author(s) -
Inoguchi Yasunori,
Kaku Bunji,
Kitagawa Naotaka,
Katsuda Shoji
Publication year - 2020
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.28346
Subject(s) - medicine , stent , myocardial infarction , thrombosis , culprit , cardiology , percutaneous coronary intervention , radiology , coronary stent , surgery , coronary thrombosis , restenosis
We report the case of a patient who developed uncontrollable intraprocedural stent thrombosis (IPST) during an emergent percutaneous coronary intervention for acute myocardial infarction that was mitigated only by covering the culprit lesion with a stent graft. Although several factors can induce stent thrombosis, IPST was likely a result of intrastent plaque protrusion in this patient. This is the first case report on the use of stent graft implantation as an effective bailout procedure for uncontrolled IPST. The findings described in this case study warrant the adoption of stent grafts for the complete sealing of plaque protrusion in lesions.