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Plaque herniation through an intracoronary stent
M J Brack1, L N Forbat, J D Skehan
1Academic Department of Cardiology, Glenfield General Hospital, Leicester, UK.
International Journal of Cardiology
|March 15, 1994
Summary
A Wiktor stent was used after balloon angioplasty, but plaque herniation caused a poor outcome. This case highlights the importance of selecting the correct coronary stent for optimal results.
Area of Science:
- Interventional Cardiology
- Biomedical Engineering
Background:
- Coronary angioplasty is a common procedure to open blocked arteries.
- Intracoronary stents are frequently deployed to maintain vessel patency post-angioplasty.
- Choosing the appropriate stent is crucial for successful outcomes.
Observation:
- A Wiktor intracoronary stent was implanted following balloon angioplasty due to a poor angiographic result.
- Despite proper stent placement and dilation, a suboptimal result persisted.
Findings:
- The primary cause of the suboptimal outcome was plaque herniation through the Wiktor stent.
- Plaque herniation compromised the stent's effectiveness in achieving a satisfactory result.
Implications:
- This case underscores the critical role of stent selection in interventional cardiology.
- As stent technology advances, careful consideration of device choice is paramount for patient outcomes.
- Understanding potential complications like plaque herniation informs future procedural strategies.