title: Successful management of a rare case of stent fracture and subsequent migration of the fractured stent segment into the ascending aorta in in-stent restenotic lesions of a saphenous vein graft.
abstract: Stent fracture is a complication following implantation of drug eluting stents and is recognized as one of the risk factors for in-stent restenosis. We present the first case of successfully managing a stent fracture and subsequent migration of the fractured stent into the ascending aorta that occurred during repeat revascularization for in-stent restenosis of an ostium of saphenous vein graft after implantation of a zotarolimus-eluting stent. Although the fractured stent segment had migrated into the ascending aorta with a pulled balloon catheter, it was successfully repositioned in the saphenous vein graft using an inflated balloon catheter. Then, the fractured stent segment was successfully connected to the residual segment of the zotarolimus-eluting stent by covering it with an additional sirolimuseluting stent.
authors.affiliation: Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Hoyoun
authors.initials: H
authors.lastname: Won
authors.forename: Jaewon
authors.initials: J
authors.lastname: Oh
authors.forename: Youngjun
authors.initials: Y
authors.lastname: Yang
authors.forename: Mihyun
authors.initials: M
authors.lastname: Kim
authors.forename: Choongki
authors.initials: C
authors.lastname: Kim
authors.forename: Junbeom
authors.initials: J
authors.lastname: Park
authors.forename: Byeong-Keuk
authors.initials: BK
authors.lastname: Kim
authors.forename: Donghoon
authors.initials: D
authors.lastname: Choi
authors.forename: Myeong-Ki
authors.initials: MK
authors.lastname: Hong