Korean Circulation Journal

  • 제45권1호
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  • Pages.67-70
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  • 2015
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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DOI QR Code

Two Cases of Immediate Stent Fracture after Zotarolimus-Eluting Stent Implantation

  • Lee, Pil Hyung (Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Seung-Whan (Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Jong-Young (Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Young-Hak (Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Cheol Whan (Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Park, Duk-Woo (Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Park, Seong-Wook (Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Park, Seung-Jung (Department of Cardiology, University of Ulsan College of Medicine, Asan Medical Center)
  • 투고 : 2014.02.23
  • 심사 : 2014.06.09
  • 발행 : 2015.01.30
⟨ 이전 논문 다음 논문 ⟩

초록

Drug-eluting stent (DES) implantation is currently the standard treatment for various types of coronary artery disease. However, previous reports indicate that stent fractures, which usually occur after a period of time from the initial DES implantation, have increased during the DES era; stent fractures can contribute to unfavorable events such as in-stent restenosis and stent thrombosis. In our present report, we describe two cases of zotarolimus-eluting stent fracture: one that was detected six hours after implementation, and the other case that was detected immediately after deployment. Both anatomical and technical risk factors contributed to these unusual cases of immediate stent fracture.

키워드

참고문헌

  1. Kuramitsu S, Iwabuchi M, Haraguchi T, et al. Incidence and clinical impact of stent fracture after everolimus-eluting stent implantation. Circ Cardiovasc Interv 2012;5:663-71. https://doi.org/10.1161/CIRCINTERVENTIONS.112.969238
  2. Chakravarty T, White AJ, Buch M, et al. Meta-analysis of incidence, clinical characteristics and implications of stent fracture. Am J Cardiol 2010;106:1075-80. https://doi.org/10.1016/j.amjcard.2010.06.010
  3. Aoki J, Nakazawa G, Tanabe K, et al. Incidence and clinical impact of coronary stent fracture after sirolimus-eluting stent implantation. Catheter Cardiovasc Interv 2007;69:380-6. https://doi.org/10.1002/ccd.20950
  4. Lee MS, Jurewitz D, Aragon J, Forrester J, Makkar RR, Kar S. Stent fracture associated with drug-eluting stents: clinical characteristics and implications. Catheter Cardiovasc Interv 2007;69:387-94. https://doi.org/10.1002/ccd.20942
  5. Kim HS, Kim YH, Lee SW, et al. Incidence and predictors of drug-eluting stent fractures in long coronary disease. Int J Cardiol 2009;133:354-8. https://doi.org/10.1016/j.ijcard.2008.01.005
  6. Alexopoulos D, Xanthopoulou I. Coronary stent fracture: how frequent it is? Does it matter? Hellenic J Cardiol 2011;52:1-5.
  7. Amico F, Geraci S, Tamburino C. Acute coronary syndrome due to early multiple and complete fractures in sirolimus-eluting stent: a case report and brief literature review. Catheter Cardiovasc Interv 2013;81:52-6. https://doi.org/10.1002/ccd.24414
  8. Smaldone C, Bacà M, Niccoli G. A case of early drug-eluting stent fracture. J Invasive Cardiol 2010;22:E186-8.
  9. Chhatriwalla AK, Unzek S, Kapadia SR. Recurrent stent fracture in the right coronary artery. Clin Cardiol 2010;33:E70-2. https://doi.org/10.1002/clc.20739
  10. Sianos G, Hofma S, Ligthart JM, et al. Stent fracture and restenosis in the drug-eluting stent era. Catheter Cardiovasc Interv 2004;61:111-6. https://doi.org/10.1002/ccd.10709
  11. Mohsen MK, Alqahtani A, Al Suwaidi J. Stent fracture: how frequently is it recognized? Heart Views 2013;14:72-81. https://doi.org/10.4103/1995-705X.115501
  12. Halwani DO, Anderson PG, Brott BC, Anayiotos AS, Lemons JE. The role of vascular calcification in inducing fatigue and fracture of coronary stents. J Biomed Mater Res B Appl Biomater 2012;100:292-304.
  13. Holmes DR Jr. Drug-eluting coronary-artery stents. N Engl J Med 2013;368:1558.
  14. Popma JJ, Tiroch K, Almonacid A, Cohen S, Kandzari DE, Leon MB. A qualitative and quantitative angiographic analysis of stent fracture late following sirolimus-eluting stent implantation. Am J Cardiol 2009;103:923-9. https://doi.org/10.1016/j.amjcard.2008.12.022
  15. Doi H, Maehara A, Mintz GS, et al. Classification and potential mechanisms of intravascular ultrasound patterns of stent fracture. Am J Cardiol 2009;103:818-23. https://doi.org/10.1016/j.amjcard.2008.11.051