title: Stent luxation: Possible complication of subadventitial stenting in coronary chronic total occlusion revascularization.
abstract: The entry to the subadventitial space is not a mode of failure, but the road to success in many chronic total occlusion (CTO) percutaneous coronary intervention (PCI) cases. Long-term clinical outcomes of subadventitial stenting are favorable and similar to intraluminal stenting. However, the subadventitial space histology and physiology remains different to the coronary true intraluminal space. We report a complication specific to stenting of the subadventitial space, where overlapping stents dislocated from one another, which resulted in late non-occlusive stent thrombosis. We describe, for the first time in the literature, this complication, possible reasons behind, and the ways to avoid this potentially major mischief. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Institut Universitaire de Cardiologie et de Pneumologie de Québec (Quebec Heart and Lung Institute), Laval University, Quebec City, Canada.
authors.forename: Rustem
authors.initials: R
authors.lastname: Dautov
authors.affiliation: Institut Universitaire de Cardiologie et de Pneumologie de Québec (Quebec Heart and Lung Institute), Laval University, Quebec City, Canada.
authors.forename: Can M
authors.initials: CM
authors.lastname: Nguyen
authors.affiliation: Institut Universitaire de Cardiologie et de Pneumologie de Québec (Quebec Heart and Lung Institute), Laval University, Quebec City, Canada.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Rinfret
mesh_terms: D002908:Chronic Disease; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D015607:Stents / Q000009:adverse effects*; D017131:Thrombectomy / Q000379:methods; D013997:Time Factors
keywords: chronic total occlusion; percutaneous coronary intervention; subadventitial stenting