Focal stent collapse in a patient with systemic sclerosis.
We report a patient with systemic sclerosis having implantation of a 35 mm beStent with immediate success but developing angina at follow-up. A focal stent collapse with focal hyperplasia in and outside the stent was documented by ultrasound after 2 mos. A 14mm Palmaz-Schatz stent was successfully deployed into the collapsed beStent, with good 6-mo angiographic result. The stent collapse was probably due to unequal distribution of radial forces and possibly reactive hyperplasia in this unique patient with systemic sclerosis.
Di Francesco
L
L
Centro Cuore Columbus, Milan, Italy.
Finci
L
L
Reimers
B
B
Di Mario
C
C
Colombo
A
A
D000368:Aged; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000628:therapy*; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D019160:Endosonography; D004868:Equipment Failure; D005260:Female; D005352:Fibromuscular Dysplasia / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D012008:Recurrence; D019233:Retreatment; D012595:Scleroderma, Systemic / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents