A case of repeated stent fracture.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Oxford Medical Case Reports Pub Date : 2024-07-21 eCollection Date: 2024-07-01 DOI:10.1093/omcr/omae075
Shohei Migita, Nobuhiro Murata, Kurara Takahashi, Yuki Nakajima, Saki Mizobuchi, Masatsugu Miyagawa, Yudai Tanaka, Katsunori Fukumoto, Riku Arai, Tomoyuki Morikawa, Takashi Mineki, Keisuke Kojima, Mitsumasa Sudo, Daisuke Fukamachi, Yasuo Okumura
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Abstract

Stent fracture is one of the complications of drug-eluting stent implantation. An 84-year-old man underwent coronary angiography for unstable angina. He had diffuse severe stenosis and calcified plaque in the left anterior descending artery and underwent percutaneous coronary intervention (PCI) in the left anterior descending artery for severe stenosis with chest pain. Thereafter, two subsequent stent fractures occurred, so the patient underwent another PCI to cover them. However, a stent fracture was found again one year later. The patient was asymptomatic and PCI was avoided due to the risk of further stent fracture. When a stent fracture occurs, it is important to provide appropriate treatment according to the anatomical findings of the vessel, symptoms and the presence of ischemia.

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一例支架反复断裂的病例
支架断裂是药物洗脱支架植入术的并发症之一。一名 84 岁的男子因不稳定型心绞痛接受了冠状动脉造影术。他的左前降支动脉有弥漫性严重狭窄和钙化斑块,并因严重狭窄伴胸痛接受了左前降支动脉经皮冠状动脉介入治疗(PCI)。此后,又发生了两次支架断裂,因此患者又接受了一次PCI手术以弥补断裂。然而,一年后再次发现支架断裂。患者无症状,由于存在支架再次断裂的风险,因此避免了 PCI。当发生支架断裂时,重要的是根据血管解剖结果、症状和缺血情况提供适当的治疗。
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来源期刊
Oxford Medical Case Reports
Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
125
审稿时长
19 weeks
期刊介绍: Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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