Despite operator experience and improved catheter technology, acute vessel closure is inherently associated with percutaneous transluminal coronary angioplasty (PTCA) of complex lesions, This case study descrlbes a patient who developed an occlusive dissection post PTCA at the bifurcation of the lef
Stenting within a stent for treatment of residual dissection
โ Scribed by Hamon, Martial ;Monassier, Jean-Pierre
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 226 KB
- Volume
- 40
- Category
- Article
- ISSN
- 0098-6569
No coin nor oath required. For personal study only.
โฆ Synopsis
We describe the management of residual dissection protruding through the struts of a Wiktor stent (Medtronic Inc., Minneapolis, MN) implanted in bailout conditions. In general, negotiating a stent through an expanded Wiktor stent is not recommended, but using this strategy, an AVE (Advanced Vascular Engineering, Santa Clara, CA) Micro stent was successfully implanted inside the Wiktor stent, leading to an excellent final angiographic result.
๐ SIMILAR VOLUMES
A case of emboiization of an unexpanded Wiktor stent while attempting to traverse an expanded Wiktor stent is reported. The embollzed stent was subjected to longitudinal axial traction, using a balloon catheter to causo stretching and partial unraveling. This partially unraveled stent was deployed a
Following an acute anterior myocardial infarction, a 56-yr-old female underwent two bailoon angioplasty procedures for a recurrent proximal left anterior descending artery stenosls. She had recurrent angina pectoris. Anglography showed a noncritical restenosls with marked provocable superimposed vas