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Published in: Cardiovascular Intervention and Therapeutics 3/2015

01-07-2015 | Case Report

Contrast stainings outside the stents of the superficial femoral artery after polymer-free drug-eluting peripheral stents implantation

Authors: Akihiro Nakamura, Kazuki Noda, Sota Nakajima, Hideaki Endo, Tohru Takahashi, Eiji Nozaki

Published in: Cardiovascular Intervention and Therapeutics | Issue 3/2015

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Abstract

A 65-year-old man with occlusion of the left superficial femoral artery (SFA) underwent the endovascular therapy (EVT). A successful EVT was performed with three paclitaxel-eluting peripheral stents (Zilver PTX®) implanted in the left SFA. Angiography 1 year later showed an exudation of contrast outside the stent struts, and intravascular ultrasound, and optical coherence tomography also showed incomplete stent apposition with remarkable positive vascular remodeling. Zilver PTX® stent is a polymer-free stent and it is unclear that the reason why the patient treated with Zilver PTX® stents in the SFA lesions caused the contrast stainings outside the stents. However, we need more careful long-term follow-up of this patient for late thrombosis.
Literature
1.
go back to reference Soga Y, Tomoi Y, Sato K, Iida O, Tokoi H. Clinical outcome after endovascular treatment for isolated common femoral and opoliteal artery disease. Cardiovasc Interv Ther. 2013;28(3):250–7.PubMedCrossRef Soga Y, Tomoi Y, Sato K, Iida O, Tokoi H. Clinical outcome after endovascular treatment for isolated common femoral and opoliteal artery disease. Cardiovasc Interv Ther. 2013;28(3):250–7.PubMedCrossRef
2.
go back to reference Dohi T, Iida O, Okamoto S, Nanto K, Nanto S, Uematsu M. Mid-term clinical outcome following endovascular therapy in patients with chronic aortic occlusion. Cardiovasc Interv Ther. 2013;28(4):327–32.PubMedCrossRef Dohi T, Iida O, Okamoto S, Nanto K, Nanto S, Uematsu M. Mid-term clinical outcome following endovascular therapy in patients with chronic aortic occlusion. Cardiovasc Interv Ther. 2013;28(4):327–32.PubMedCrossRef
3.
go back to reference Sakamoto Y, Hirano K, Iida O, Suzuki Y, Muramatsu T, Tsukahara R. Five-year outcomes of self-expanding nitinol stent implantation for chronic total occlusion of the superficial femoral and proximal popliteal artery. Cardiovasc Interv Ther. 2013;82(3):E251–6 (Epub ahead of print).CrossRef Sakamoto Y, Hirano K, Iida O, Suzuki Y, Muramatsu T, Tsukahara R. Five-year outcomes of self-expanding nitinol stent implantation for chronic total occlusion of the superficial femoral and proximal popliteal artery. Cardiovasc Interv Ther. 2013;82(3):E251–6 (Epub ahead of print).CrossRef
4.
go back to reference Bosiers M, Deloose K, Keirse K, Verbist J, Peeters P. J Cardiovasc Surg (Torino). 2010;51(1):115–9.PubMed Bosiers M, Deloose K, Keirse K, Verbist J, Peeters P. J Cardiovasc Surg (Torino). 2010;51(1):115–9.PubMed
5.
go back to reference Dake MD, Scheinert D, Tepe G, Tessarek J, Fanelli F, Bosiers M, et al. Nitinol stents with polymer-free paclitaxel coating for lesions in the superficial femoral and popliteal arteries above the knee: twelve-month safety and effectiveness results from the Zilver PTX single-arm clinical study. J Endovasc Ther. 2011;18:613–23.PubMedCrossRef Dake MD, Scheinert D, Tepe G, Tessarek J, Fanelli F, Bosiers M, et al. Nitinol stents with polymer-free paclitaxel coating for lesions in the superficial femoral and popliteal arteries above the knee: twelve-month safety and effectiveness results from the Zilver PTX single-arm clinical study. J Endovasc Ther. 2011;18:613–23.PubMedCrossRef
6.
go back to reference Dake MD, Ansel GM, Jaff MR, Ohki T, Saxon RR, Smouse HB, et al. Paclitaxel-eluting stents show superiority to balloon angioplasty and bare metal stents in femoropopliteal disease: twelve-month Zilver PTX randomized study results. Circ Cardiovasc Interv. 2011;4:495–504.PubMedCrossRef Dake MD, Ansel GM, Jaff MR, Ohki T, Saxon RR, Smouse HB, et al. Paclitaxel-eluting stents show superiority to balloon angioplasty and bare metal stents in femoropopliteal disease: twelve-month Zilver PTX randomized study results. Circ Cardiovasc Interv. 2011;4:495–504.PubMedCrossRef
7.
go back to reference Kon H, Sakai H, Otsubo M, Takano H, Okamoto K, Sato T, et al. Contrast staining outside the sirolimus-eluting stent leading to coronary aneurysm formation: a case of very late stent thrombosis associated with hypersensitivity reaction. Circ Cardiovasc Interv. 2011;4(1):e1–3.PubMedCrossRef Kon H, Sakai H, Otsubo M, Takano H, Okamoto K, Sato T, et al. Contrast staining outside the sirolimus-eluting stent leading to coronary aneurysm formation: a case of very late stent thrombosis associated with hypersensitivity reaction. Circ Cardiovasc Interv. 2011;4(1):e1–3.PubMedCrossRef
8.
go back to reference Imai M, Kadota K, Goto T, Fujii S, Yamamoto H, Fuku Y, et al. Incidence, risk factors, and clinical sequelae of angiographic peri-stent contrast staining after sirolimus-eluting stent implantation. Circulation. 2011;123:2382–91.PubMedCrossRef Imai M, Kadota K, Goto T, Fujii S, Yamamoto H, Fuku Y, et al. Incidence, risk factors, and clinical sequelae of angiographic peri-stent contrast staining after sirolimus-eluting stent implantation. Circulation. 2011;123:2382–91.PubMedCrossRef
9.
10.
go back to reference Kume T, Waseda K, Ako J, Sakata K, Yamasaki M, Shimohama T, et al. Intravascular ultrasound assessment of post procedural incomplete stent apposition. J Invasive Cardiol. 2012;24:13–6.PubMed Kume T, Waseda K, Ako J, Sakata K, Yamasaki M, Shimohama T, et al. Intravascular ultrasound assessment of post procedural incomplete stent apposition. J Invasive Cardiol. 2012;24:13–6.PubMed
11.
go back to reference Vivek M, Shah MS, Gary S, Mintz MD, Sue Apple DNSc, Neil J, et al. Background incidence of late malapposition after bare-metal stent implantation. Circulation. 2002;106:1753–5.CrossRef Vivek M, Shah MS, Gary S, Mintz MD, Sue Apple DNSc, Neil J, et al. Background incidence of late malapposition after bare-metal stent implantation. Circulation. 2002;106:1753–5.CrossRef
12.
go back to reference Attizzani GF, Capodanno D, Ohno Y, Tamburino C. Mechanisms, pathophysiology, and clinical aspects of incomplete stent apposition. J Am Coll Cardiol. 2014;63:1355–67.PubMedCrossRef Attizzani GF, Capodanno D, Ohno Y, Tamburino C. Mechanisms, pathophysiology, and clinical aspects of incomplete stent apposition. J Am Coll Cardiol. 2014;63:1355–67.PubMedCrossRef
13.
go back to reference Virmani R, Guagliumi G, Farb A, Musumeci G, Grieco N, Motta T, et al. Localized hypersensitivity and late coronary thrombosis secondary to a sirolimus-eluting stent: should we be cautions? Circulation. 2004;109:701–5.PubMedCrossRef Virmani R, Guagliumi G, Farb A, Musumeci G, Grieco N, Motta T, et al. Localized hypersensitivity and late coronary thrombosis secondary to a sirolimus-eluting stent: should we be cautions? Circulation. 2004;109:701–5.PubMedCrossRef
14.
go back to reference Joner M, Finn AV, Farb A, Mont EK, Kolodgie FD, Ladich E, et al. Pathology of drug-eluting stents in humans: delayed healing and late thrombotic risk. J Am Coll Cardiol. 2006;48:193–202.PubMedCrossRef Joner M, Finn AV, Farb A, Mont EK, Kolodgie FD, Ladich E, et al. Pathology of drug-eluting stents in humans: delayed healing and late thrombotic risk. J Am Coll Cardiol. 2006;48:193–202.PubMedCrossRef
15.
go back to reference Lanjewar CP, Sharma A, Sheth T. IVUS-guided management of late stent malapposition with peri-stent restenosis with coronary artery aneurysm. J Invasive Cardiol. 2009;21:E87–90.PubMed Lanjewar CP, Sharma A, Sheth T. IVUS-guided management of late stent malapposition with peri-stent restenosis with coronary artery aneurysm. J Invasive Cardiol. 2009;21:E87–90.PubMed
16.
go back to reference Aoki J, Colombo A, Dudek D, Banning AP, Drzewiecki J, Zmudka K, et al. Peristent remodeling and neointimal suppression 2 years after polymer-based, paclitaxel-eluting stent implantation. Insight from serial intravascular ultrasound analysis in the TAXUS II study. Circulation. 2005;112:3876–83.PubMedCrossRef Aoki J, Colombo A, Dudek D, Banning AP, Drzewiecki J, Zmudka K, et al. Peristent remodeling and neointimal suppression 2 years after polymer-based, paclitaxel-eluting stent implantation. Insight from serial intravascular ultrasound analysis in the TAXUS II study. Circulation. 2005;112:3876–83.PubMedCrossRef
17.
go back to reference Cook S, Wenaweser P, Togni M, Billinger M, Morger C, Seiler C, et al. Incomplete stent apposition and very late stent thrombosis after drug-eluting stent implantation. Circulation. 2007;115:2426–34.PubMedCrossRef Cook S, Wenaweser P, Togni M, Billinger M, Morger C, Seiler C, et al. Incomplete stent apposition and very late stent thrombosis after drug-eluting stent implantation. Circulation. 2007;115:2426–34.PubMedCrossRef
18.
go back to reference Hong MK, Mintz GS, Lee CW, Park DW, Park KM, Lee BK, et al. Late stent malapposition after drug-eluting stent implantation: an intravascular ultrasound analysis with long-term follow-up. Circulation. 2006;113:414–9.PubMedCrossRef Hong MK, Mintz GS, Lee CW, Park DW, Park KM, Lee BK, et al. Late stent malapposition after drug-eluting stent implantation: an intravascular ultrasound analysis with long-term follow-up. Circulation. 2006;113:414–9.PubMedCrossRef
Metadata
Title
Contrast stainings outside the stents of the superficial femoral artery after polymer-free drug-eluting peripheral stents implantation
Authors
Akihiro Nakamura
Kazuki Noda
Sota Nakajima
Hideaki Endo
Tohru Takahashi
Eiji Nozaki
Publication date
01-07-2015
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 3/2015
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-014-0290-4

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