Very Late Fracture of a First-Generation Drug-Eluting Stent.

Flora Tsakirian1, Dimitrios Afendoulis1, Sotirios Tsalamandris1

  • 1Unit of Structural and Valvular Heart Diseases, First Department of Cardiology, National and Kapodestrian University of Athens, Hippokration General Hospital of Athens, Athens, Greece.

JACC. Case Reports
|March 14, 2026
PubMed
Summary

First-generation drug-eluting stents can fracture decades after implantation, leading to very late stent failure. Management decisions for coronary stent fracture should prioritize patient symptoms and ischemia assessment over imaging alone.