Acute Severe Ischemia Following Protected Distal Left Main Stenting for Recurrent Drug-Eluting Instent Restenosis: A Potential New Mechanism for Side-Branch Ischemia
| Autor: | Khaled Al Merri, Ibrahim Al Rashdan, Mohammad Al Mutairi, Baskaran Ch, rasekar |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Ischemia Stent equipment and supplies medicine.disease Surgery Angina Coronary artery bypass surgery Ostium Stenosis surgical procedures operative medicine.anatomical_structure Internal medicine Cardiology Medicine cardiovascular diseases Circumflex business Artery |
| Zdroj: | International Journal of Cardiovascular Research. |
| ISSN: | 2324-8602 |
| DOI: | 10.4172/2324-8602.1000167 |
| Popis: | Acute Severe Ischemia Following Protected Distal Left Main Stenting for Recurrent Drug-Eluting Instent Restenosis: A Potential New Mechanism for Side-Branch Ischemia Left main coronary artery instent restenosis can be treated by repeat percutaneous intervention with drug-eluting stent. We report a 53- year old patient with protected left main disease who presented with recurrent drug-eluting instent restenosis of distal left main/left circumflex ostium. The patient required treatment with a third layer of drug-eluting stent, using the single-stent approach. Acutely following the procedure, the patient developed severe angina associated with 2-mm ST segment depression in electrocardiographic leads V1-V4. Re-look angiography demonstrated a patent stent and normal appearance of the ostium of left anterior descending artery. Plain balloon dilatation of the three-layers of stent-struts across the left anterior descending artery ostium completely relieved the ischemia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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