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Published on: July 19, 2016
Coronary artery stent fracture
Amgad N Makaryus1, Lance Lefkowitz, Alexander D K Lee
1Division of Cardiology, Columbia University Medical Center, 622 West 168th Street, New York, NY, 10032, USA.
Coronary stent fracture, a rare complication of stenting, can cause unstable angina. Early recognition is key for prompt treatment of this potentially serious issue.
Area of Science:
- Cardiology
- Interventional Cardiology
- Biomedical Engineering
Background:
- Coronary artery stenting is a common procedure to treat coronary artery disease.
- Stent fracture is a rare but serious complication that can lead to adverse cardiac events.
- Non-specific symptoms of stent fracture can delay diagnosis and treatment.
Observation:
- A 61-year-old male presented with unstable angina.
- The patient had undergone elective percutaneous coronary intervention (PCI) for in-stent restenosis two weeks prior.
- Coronary stent fracture was identified as the cause of the patient's symptoms.
Findings:
- The case highlights a stent fracture occurring within two weeks of PCI.
- Unstable angina was the presenting symptom, directly linked to the fractured stent.
- This case underscores the potential for rapid onset of complications after stenting.
Implications:
- Physicians must maintain a high index of suspicion for stent fracture in patients with relevant history and symptoms.
- Awareness of this complication is crucial for timely diagnosis and intervention.
- Prompt recognition and management of coronary stent fracture can prevent severe cardiac events.
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