Conflict of interest: The authors report no financial relationships or conflicts of interest regarding the content herein.
Coronary Artery Disease
Acute coronary syndrome due to early multiple and complete fractures in sirolimus-eluting stent: A case report and brief literature review†
Version of Record online: 2 MAY 2012
Copyright © 2012 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 81, Issue 1, pages 52–56, 1 January 2013
How to Cite
Amico, F., Geraci, S. and Tamburino, C. (2013), Acute coronary syndrome due to early multiple and complete fractures in sirolimus-eluting stent: A case report and brief literature review. Cathet. Cardiovasc. Intervent., 81: 52–56. doi: 10.1002/ccd.24414
- Issue online: 21 DEC 2012
- Version of Record online: 2 MAY 2012
- Accepted manuscript online: 19 MAR 2012 11:35AM EST
- Manuscript Accepted: 14 MAR 2012
- Manuscript Received: 12 NOV 2011
- acute coronary syndrome;
- coronary, stent structure;
- complications adult cath/intervention
Despite drug eluting stents (DES), as compared to bare metal stents, have reduced in-stent restenosis, complex and long lesions remains a challenge for interventional cardiologist. Their treatment is often associated with an unfavorable outcome, related to in-stent restenosis, stent thrombosis, and target lesion revascularization. These complications may derive from the contact between metallic structures and coronary artery endothelium, and consequent overexpression of platelet activating factors, growth factors, and inflammatory cytokines. Recently, an additional mechanism has emerged as new cause of these complications: “stent fracture.” Several factors are involved in this phenomenon including material and stent platform, target vessel features, stent implantation technique, and implant duration. We reported a case of 69 years old man with rare early and complex DES fractures on right coronary that caused acute coronary syndrome 36 hr after a previous percutaneous coronary intervention.© 2012 Wiley Periodicals, Inc.