Successful management of Palmaz-Schatz stents deformed by inadvertent angioplasty outside the stents.
We describe a case in which balloon angioplasty of thrombosed saphenous vein graft stents resulted in compression and deformation of the stents because of inadvertent passage of the guidewire outside the stents. This condition was diagnosed by intravascular ultrasonography, which was then ultimately utilized to direct and optimize placement of additional stents to exclude the deformed stents from the vessel lumen.
Chu
T N
TN
Department of Medicine, University of Rochester Medical Center, New York 14642, USA.
Ling
F S
FS
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017073:Atherectomy / Q000379:methods; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D004868:Equipment Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D010960:Plasminogen Activators / Q000627:therapeutic use; D011184:Postoperative Period; D015607:Stents / Q000009:adverse effects*; D017131:Thrombectomy / Q000379:methods; D018084:Ultrasonography, Interventional; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator