Stenting within a stent for treatment of residual dissection.
We describe the management of residual dissection protruding through the struts of a Wiktor stent (Medtronic Inc., Minneapolis, MN) implanted in bailout conditions. In general, negotiating a stent through an expanded Wiktor stent is not recommended, but using this strategy, an AVE (Advanced Vascular Engineering, Santa Clara, CA) Micro stent was successfully implanted inside the Wiktor stent, leading to an excellent final angiographic result.
Hamon
M
M
Unité de Pathologie Coronaire et de Cardiologie Interventionnelle, Centre Hospitalier de Mulhouse, France.
Monassier
J P
JP
D000784:Aortic Dissection / Q000209:etiology* / Q000628:therapy; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation; D003323:Coronary Aneurysm / Q000209:etiology* / Q000628:therapy; D017023:Coronary Angiography; D003326:Coronary Circulation / Q000502:physiology; D003327:Coronary Disease / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*