Coronary stent fracture and restenosis in the drug-eluting stent era: Do we have clues of management?

被引:23
作者
Kim, Eung Ju [1 ]
Rha, Seung-Woon [1 ]
Wani, Sunil P. [1 ]
Suh, Soon Yong [1 ]
Choi, Cheol Ung [1 ]
Kim, Jin Won [1 ]
Park, Chang Gyu [1 ]
Seo, Hong Seog [1 ]
Oh, Dong Joo [1 ]
机构
[1] Korea Univ, Guro Hosp, Ctr Cardiovasc, Seoul 152703, South Korea
关键词
drug-eluting stent; stent fracture; restenosis; revascularization;
D O I
10.1016/j.ijcard.2006.08.019
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Despite the fact that the drug-eluting stents (DES) have markedly reduced neointimal proliferation, restenosis is still an open subject. Although DES fracture is very rare, it has been considered as one of the reasons for DES restenosis, however, the mechanism and proper management are not clearly elucidated yet. We describe two cases of sirolimus-eluting stent fracture combined with significant resterrosis and suggest the possible revascularization strategies for successful management. (c) 2006 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:417 / 419
页数:3
相关论文
共 7 条
[1]   Late incomplete lesion coverage following Cypher stent deployment for diffuse right coronary artery stenosis [J].
Halkin, A ;
Carlier, S ;
Leon, MB .
HEART, 2004, 90 (08) :e45
[2]  
Hamilos Michalis I, 2005, Hellenic J Cardiol, V46, P439
[3]   Coronary restenosis after sirolimus-eluting stent implantation - Morphological description and mechanistic analysis from a consecutive series of cases [J].
Lemos, PA ;
Saia, F ;
Ligthart, JMR ;
Arampatzis, CA ;
Sianos, G ;
Tanabe, K ;
Hoye, A ;
Degertekin, M ;
Daemen, J ;
McFadden, E ;
Hofma, S ;
Smits, PC ;
de Feyter, P ;
van der Giessen, WJ ;
van Domburg, RT ;
Serruys, PW .
CIRCULATION, 2003, 108 (03) :257-260
[4]   Delayed strut fracture of sirolimus-eluting stent: A significant problem or an occasional observation? [J].
Min, PK ;
Yoon, YW ;
Kwon, HM .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2006, 106 (03) :404-406
[5]   Stent fracture and restenosis in the drug-eluting stent era [J].
Sianos, G ;
Hofma, S ;
Ligthart, JMR ;
Saia, F ;
Hoye, A ;
Lemos, PA ;
Serruys, PW .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2004, 61 (01) :111-116
[6]  
Suzuki Yoriyasu, 2006, J Invasive Cardiol, V18, P111
[7]   Nonuniform strut distribution correlates with more neointimal hyperplasia after sirolimus-eluting stent implantation [J].
Takebayashi, H ;
Mintz, GS ;
Carlier, SG ;
Kobayashi, Y ;
Fujii, K ;
Yasuda, T ;
Costa, RA ;
Moussa, I ;
Dangas, GD ;
Mehran, R ;
Lansky, AJ ;
Kreps, E ;
Collins, MB ;
Colombo, A ;
Stone, GW ;
Leon, MB ;
Moses, JW .
CIRCULATION, 2004, 110 (22) :3430-3434