Wire-induced stent crumpling remedied by bail-out crush stenting; a case report

We report a-56-year old army pensioner who presented initially to a peripheral hospital with acute ST-elevation inferior myocardial infarction thrombolysed with streptokinase. He was subsequently referred to the National Heart Institute (Institut Jantung Negara, Malaysia) for coronary revasculariz...

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Main Authors:	Mohd Shah, Azarisman Shah, Mohd Ali, Rosli
Format:	Article
Language:	English
Published:	Faculty of Medicine, International Islamic University Malaysia 2011
Subjects:	RC Internal medicine
Online Access:	http://irep.iium.edu.my/17146/ http://irep.iium.edu.my/17146/1/Wire-Induced_Stent_Crumpling_Remedied_By_Bail-Out.pdf

id	iium-17146
recordtype	eprints
spelling	iium-171462013-06-27T07:51:55Z http://irep.iium.edu.my/17146/ Wire-induced stent crumpling remedied by bail-out crush stenting; a case report Mohd Shah, Azarisman Shah Mohd Ali, Rosli RC Internal medicine We report a-56-year old army pensioner who presented initially to a peripheral hospital with acute ST-elevation inferior myocardial infarction thrombolysed with streptokinase. He was subsequently referred to the National Heart Institute (Institut Jantung Negara, Malaysia) for coronary revascularization. Coronary angiogram revealed an ectatic right coronary artery with discrete lesions at the proximal and distal segments stented with bare metal stents (BMS). Post dilatation shots revealed a wire-induced, distal dissection at the posterior left ventricular artery remedied by balloon angioplasty but resulting in balloon-induced crumpling of the distal BMS. We discuss the importance of sequential, distal-to-proximal coronary intervention, stent crumpling and remedial strategies. Faculty of Medicine, International Islamic University Malaysia 2011-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/17146/1/Wire-Induced_Stent_Crumpling_Remedied_By_Bail-Out.pdf Mohd Shah, Azarisman Shah and Mohd Ali, Rosli (2011) Wire-induced stent crumpling remedied by bail-out crush stenting; a case report. International Medical Journal Malaysia, 10 (2). ISSN 1823-4631
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RC Internal medicine
spellingShingle	RC Internal medicine Mohd Shah, Azarisman Shah Mohd Ali, Rosli Wire-induced stent crumpling remedied by bail-out crush stenting; a case report
description	We report a-56-year old army pensioner who presented initially to a peripheral hospital with acute ST-elevation inferior myocardial infarction thrombolysed with streptokinase. He was subsequently referred to the National Heart Institute (Institut Jantung Negara, Malaysia) for coronary revascularization. Coronary angiogram revealed an ectatic right coronary artery with discrete lesions at the proximal and distal segments stented with bare metal stents (BMS). Post dilatation shots revealed a wire-induced, distal dissection at the posterior left ventricular artery remedied by balloon angioplasty but resulting in balloon-induced crumpling of the distal BMS. We discuss the importance of sequential, distal-to-proximal coronary intervention, stent crumpling and remedial strategies.
format	Article
author	Mohd Shah, Azarisman Shah Mohd Ali, Rosli
author_facet	Mohd Shah, Azarisman Shah Mohd Ali, Rosli
author_sort	Mohd Shah, Azarisman Shah
title	Wire-induced stent crumpling remedied by bail-out crush stenting; a case report
title_short	Wire-induced stent crumpling remedied by bail-out crush stenting; a case report
title_full	Wire-induced stent crumpling remedied by bail-out crush stenting; a case report
title_fullStr	Wire-induced stent crumpling remedied by bail-out crush stenting; a case report
title_full_unstemmed	Wire-induced stent crumpling remedied by bail-out crush stenting; a case report
title_sort	wire-induced stent crumpling remedied by bail-out crush stenting; a case report
publisher	Faculty of Medicine, International Islamic University Malaysia
publishDate	2011
url	http://irep.iium.edu.my/17146/ http://irep.iium.edu.my/17146/1/Wire-Induced_Stent_Crumpling_Remedied_By_Bail-Out.pdf
first_indexed	2018-09-07T04:03:30Z
last_indexed	2018-09-07T04:03:30Z
_version_	1610919979705696256

Wire-induced stent crumpling remedied by bail-out crush stenting; a case report

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