title: Acute Stent Fracture During Balloon Post Dilation of an Everolimus Eluting Stent.
abstract: Coronary artery stent fracture is a well described complication during percutaneous intervention, with rates ranging from 0.84 to 8.4 percent in first generation drug eluting stents. Complications of stent fractures usually present with symptoms of acute coronary syndrome or progressive angina days, months to years after initial implantation. We present a case of an acute stent fracture during post balloon dilation of an everolimus eluting stent at a critical stenosis junction of a saphenous vein graft to the first diagonal of the left anterior descending artery. A shorter oversized drug eluting stent was placed to cover the stent fracture with good angiographic results. To our knowledge, this is the first incidence in literature of an acute stent fracture in a saphenous vein graft.
authors.forename: Jimmy
authors.initials: J
authors.lastname: Yee
authors.forename: Shawn
authors.initials: S
authors.lastname: Kelly
authors.forename: Vishesh
authors.initials: V
authors.lastname: Kumar
authors.forename: Amol
authors.initials: A
authors.lastname: Raizada
authors.forename: Amornpol
authors.initials: A
authors.lastname: Anuwatworn
authors.forename: Tomasz
authors.initials: T
authors.lastname: Stys
authors.forename: Adam
authors.initials: A
authors.lastname: Stys
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D056988:Anterior Wall Myocardial Infarction / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D000068338:Everolimus / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology; D011475:Prosthesis Failure / Q000009:adverse effects / Q000209:etiology; D012086:Reoperation / Q000379:methods*; D012501:Saphenous Vein / Q000637:transplantation; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents; D000068338:Everolimus