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Successful management of a rare case of stent fracture and subsequent migration of the fractured stent segment into the ascending aorta in in-stent restenotic lesions of a saphenous vein graft.

Title
 Successful management of a rare case of stent fracture and subsequent migration of the fractured stent segment into the ascending aorta in in-stent restenotic lesions of a saphenous vein graft.
Authors
 Hoyoun Won; Jaewon Oh; Myeong-Ki Hong; Donghoon Choi; Byeong-Keuk Kim; Junbeom Park; Choongki Kim; Mihyun Kim; Youngjun Yang
Issue Date
2012
Journal Title
 Korean Circulation Journal (순환기)
ISSN
 1738-5520
Citation
 Korean Circulation Journal (순환기), Vol.42(1) : 58~61, 2012
Abstract
Stent fracture is a complication following implantation of drug eluting stents and is recognized as one of the risk factors for in-stent restenosis. We present the first case of successfully managing a stent fracture and subsequent migration of the fractured stent into the ascending aorta that occurred during repeat revascularization for in-stent restenosis of an ostium of saphenous vein graft after implantation of a zotarolimus-eluting stent. Although the fractured stent segment had migrated into the ascending aorta with a pulled balloon catheter, it was successfully repositioned in the saphenous vein graft using an inflated balloon catheter. Then, the fractured stent segment was successfully connected to the residual segment of the zotarolimus-eluting stent by covering it with an additional sirolimuseluting stent.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/91225
DOI
10.4070/kcj.2012.42.1.58
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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