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Asymptomatic, Multiple Stent Fractures of a Superficial Femoral Artery

Rajesh Vijayvergiya1, Kewal Kanabar, Sudhanshu Budhakoty

  • 1Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Sector 12, Chandigarh - 160 012, India. rajeshvijay999@hotmail.com.

The Journal of Invasive Cardiology
|January 2, 2020
PubMed

Insights

Multiple stent fractures, often caused by ostial disease and chronic total occlusion, can occur. This case highlights a patient with multiple fractures but a patent lumen, defying typical outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Biomedical Engineering

Background:

  • Stent fractures are a known complication of coronary interventions.
  • Factors contributing to stent fracture include ostial disease, chronic total occlusion, and the use of long, multiple stents.

Observation:

  • The presented case involved a patient with multiple stent fractures.
  • These fractures were associated with several predisposing factors.

Findings:

  • Despite the presence of multiple stent fractures, the patient maintained a patent lumen.
  • This finding contrasts with the typical expectation of significant in-stent restenosis in such cases.

Implications:

  • The case challenges the conventional understanding of the clinical sequelae of stent fractures.
  • Further research is warranted to explore the mechanisms underlying lumen patency in the presence of multiple stent fractures.

Keywords:
cardiac imagingcomputed tomography

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