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

Image in cardiology

Stent longitudinal distortion: strut separation (pseudo-fracture) and strut compression (“concertina” effect)

EuroIntervention 2012;8:290-291. DOI: 10.4244/EIJV8I2A44

1. Centro Cardiologico Monzino, IRCCS, Milan, Italy; 2. Department of Cardiovascular Sciences, University of Milan, Milan, Italy; 3. Mercy Angiography, Auckland, New Zealand
A 36-year-old dyslipidaemic, cigarette-smoking woman with a family history of CAD presenting with exertional angina had non-invasive evidence of inferior ischaemia. A severe proximal lesion of the RCA was treated as outlined in detail in Figure 1 and Figure 2 and their legends. A 4.0×20 mm Promus™ Element™ stent (Boston Scientific, Natick, MA, USA) was shortened due to the delivery balloon catching on the distal stent on withdrawal associated with deep guide catheter intubation. Stent shortening uncovered part of the lesion that was treated with an additional 4.0×8 mm stent of the same design. The post dilation non-compliant balloon pushed struts apart which appeared ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article

Plaque sealing and passivation with a mechanical self-expanding low outward force nitinol vShield device for the treatment of IVUS and OCT-derived thin cap fibroatheromas (TCFAs) in native coronary arteries: report of the pilot study vShield Evaluated at Cardiac hospital in Rotterdam for Investigation and Treatment of TCFA (SECRITT)