First report on the use of a novel self-expandable stent for treatment of ST elevation myocardial infarction.
A 69-year-old female underwent primary percutaneous coronary intervention with a Stentys self-expandable stent. Potential benefits of this stent are less intimal proliferation, reduced need for predilatation, reduced risk of malapposition and distal embolization. After written informed consent, the occluded proximal left anterior descending artery was successfully treated with thrombosuction, followed by implantation of the self-expandable stent. Intravascular ultrasound examination postprocedure and at 5 days showed good stent apposition and it appeared that the vessel diameter had increased probably due to self-expanding properties of the stent and relief of coronary spasm. The patient was discharged event-free. A larger patient cohort is needed to investigate safety and feasibility of this novel stent.
IJsselmuiden
Alexander
A
Antwerp Cardiovascular Institute Middelheim, Ziekenhuis Netwerk Antwerpen, Antwerp, Belgium. sander.ijsselmuiden@zna.be
Verheye
Stefan
S
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional