title: Dissection flap protruding through stent struts.
abstract: A 64-year-old male with unstable angina underwent direct stenting in the proximal and mid-left anterior descending coronary artery (LAD) lesions. Although coronary angiography showed a good result, intravascular ultrasound imaging revealed a dissection flap protruding through the struts of the stent in the proximal LAD. Another stent was deployed in the first stent (stent-in-stent) to seal it. The patient's in-hospital course was uneventful. Subacute stent thrombosis was not observed.
authors.affiliation: Lenox Hill Heart and Vascular Institute, New York, NY 10021, USA.
authors.forename: Y
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: I
authors.initials: I
authors.lastname: Moussa
authors.forename: M
authors.initials: M
authors.lastname: Adamian
authors.forename: J W
authors.initials: JW
authors.lastname: Moses
mesh_terms: D000789:Angina, Unstable / Q000150:complications / Q000601:surgery* / Q000628:therapy; D000792:Angiography; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D003331:Coronary Vessels / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D018084:Ultrasonography, Interventional