The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

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A drug-eluting stent, accidentally removed as late as 1½ years after implantation

EuroIntervention 2011;7:1006-1007. DOI: 10.4244/EIJV7I8A158

1. Department of Cardiology, Thoraxcentre, Erasmus MC, Rotterdam, The Netherlands; 2. Interuniversity Cardiology Institute of The Netherlands, ICIN-KNAW, Utrecht, The Netherlands
A 71-year-old male patient underwent PCI for an occluded everolimus-eluting stent implanted 17 months earlier (Figure top panel A). Following balloon angioplasty, directional atherectomy was performed to aid in-stent placement. After five cuts the atherectomy catheter could only be withdrawn with considerable resistance, retrieving a deformed stent containing neointima (Figure bottom panel). Angiography confirmed the absence of the stent and a patent LAD without contrast extravasation, but with hazy borders (Figure top panel B). Endovascular imaging showed a dissected LAD with intraluminal flaps (Figure middle panels A-D) that were successfully stented (Figure top panel C). The patient showed no symptoms or ...

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