Related Experiment Videos
Main branch stent deformation following difficult side branch rewiring and balloon dilatation. Rare complication of
M Tomasevic1, V Vukcevic, G Stankovic
1Department of Cardiology, Clinical Center of Serbia, School of Medicine, University of Belgrade, Koste Todorovica 8, 11000, Belgrade, Serbia.
Abstract:
Coronary artery bifurcations are one of the largest challenges in interventional cardiology. Presented is the case of a patient in whom restenosis of a drug-eluting stent (DES) occurred as a consequence of guide wire re-crossing between the main vessel stent struts and the vessel wall in the proximal part of DES, and consequential balloon crushing of the proximal portion of the DES. Initially, the complication was not recognized because of a good angiographic result and absence of intravascular ultrasound (IVUS) guidance during the procedure. During the second procedure, IVUS analysis explained the mechanism of the DES failure. The problem was solved with the implantation of a new DES.
Related Concept Videos
Aneurysm III: Interprofessional Care
Mitral Stenosis III: Medical Management