Stent luxation: Possible complication of subadventitial stenting in coronary chronic total occlusion revascularization

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 subadv...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2017-04, Vol.89 (5), p.872-875
Main Authors: Dautov, Rustem, Nguyen, Can M, Rinfret, Stéphane
Format: Article
Language:English
Subjects:
Chronic Disease
chronic total occlusion
Coronary Angiography
Coronary Occlusion - diagnosis
Coronary Occlusion - surgery
Follow-Up Studies
Graft Occlusion, Vascular - diagnosis
Graft Occlusion, Vascular - therapy
Humans
Male
Middle Aged
percutaneous coronary intervention
Percutaneous Coronary Intervention - methods
Stents - adverse effects
subadventitial stenting
Thrombectomy - methods
Time Factors
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Summary: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.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.26515