Balloon expandable stents for acute closure post failed coronary angioplasty: case report and review of the literature.
Abrupt closure of a dominant right coronary artery occurred in a patient 1 h post coronary angioplasty. Angiography revealed a long spiral dissection involving the mid to distal segment of the right coronary artery. Four intracoronary balloon expandable stents were deployed to 'tack up' the dissection and recanalize the occluded artery. Six month follow-up angiography revealed continued patency of the stented segment. Balloon expandable stents may be an effective alternative to coronary bypass surgery in the treatment of acute closure following coronary angioplasty.
Brown
R I
RI
Victoria Hospital, London, Ontario.
Galligan
L
L
Penn
I M
IM
D000208:Acute Disease; D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003251:Constriction, Pathologic; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels; D006801:Humans; D008297:Male; D012008:Recurrence; D015607:Stents