Stent Strut Fracture-Induced Restenosis in a Bifurcation Lesion Treated With the Crush Stenting Technique

Percutaneous treatment of a bifurcation lesion still shows a significant complication rate, mainly because of restenosis at the ostial site of the side branch vessel. Different techniques, such as V-stenting, culottes-stenting or crush stenting, allow full ostial coverage and may therefore achieve u...

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Bibliographic Details
Published in:Circulation Journal 2006, Vol.70(7), pp.936-938
Main Authors: Surmely, Jean-Francois, Kinoshita, Yoshihisa, Dash, Debabrata, Matsubara, Tetsuo, Terashima, Mitsuyasu, Ehara, Mariko, Ito, Tatsuya, Nasu, Kenya, Takeda, Yoshihiro, Tanaka, Nobuyoshi, Suzuki, Takahiko, Katoh, Osamu
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon, Coronary
Bifurcation lesion
Constriction, Pathologic - diagnostic imaging
Constriction, Pathologic - surgery
Coronary Angiography
Coronary Restenosis - diagnostic imaging
Coronary Restenosis - etiology
Coronary Restenosis - surgery
Coronary Vessels - surgery
Humans
Male
Percutaneous coronary intervention
Restenosis
Stent fracture
Stents
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Summary:Percutaneous treatment of a bifurcation lesion still shows a significant complication rate, mainly because of restenosis at the ostial site of the side branch vessel. Different techniques, such as V-stenting, culottes-stenting or crush stenting, allow full ostial coverage and may therefore achieve uniform drug distribution within the lesion. The crush technique results in a strong mechanical constraint on the side branch stent. A case of stent strut fracture-induced restenosis in a bifurcation lesion treated with the crush stenting technique is described. (Circ J 2006; 70: 936 - 938)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.70.936