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Stent thrombosis following the STAR technique in a complex RCA chronic total occlusion
被引:12
作者:
Erlich, Ilana
Strauss, Bradley H.
Butany, Jagdish
机构:
[1] St Michaels Hosp, Div Cardiol, Terrence Donnelly Heart Ctr, Roy & Ann Foss Cardiovasc Res Program, Toronto, ON M5B 1W8, Canada
[2] Univ Hlth Network, Div Pathol, Toronto, ON, Canada
[3] Univ Toronto, Dept Med, Toronto, ON, Canada
[4] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada
关键词:
D O I:
10.1002/ccd.20820
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Four drug-eluting stents were deployed in the right coronary artery (RCA) of a symptomatic young woman who presented with a chronic total occlusion (CTO) of the RCA. The occlusion was successfully crossed using the recently described STAR technique. However, the patient died suddenly 15 hr later. Autopsy demonstrated a long segment of subintimal stenting in the proximal and mid RCA that was intraluminal in the distal vessel. Acute stent thrombosis in the subintimal stents was responsible for sudden death. This case highlights the potential risk of performing extensive subintimal stenting for CTO. (C) 2006 Wiley-Liss, Inc.
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页码:708 / 712
页数:5
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