Published in:
01-07-2017 | Case Report
Entrapped optical frequency domain imaging-guided rewiring and reconstruction of a deformed coronary stent
Authors:
Takashi Yanagiuchi, Jun Shiraishi, Keisuke Shoji, Masayuki Hyogo, Takahisa Sawada, Yoshio Kohno
Published in:
Cardiovascular Intervention and Therapeutics
|
Issue 3/2017
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Abstract
A 54-year-old man appeared to have acute coronary syndrome with 2 subtotal occlusive culprit lesions in the RCA and in the LCx, and intermediate stenosis in the LAD. Approximately 2 weeks after the primary PCI, we performed elective PCI for the LAD lesion. We confirmed presence of thin-cap fibroatheroma at the culprit on OFDI and implanted an everolimus-eluting stent (EES); however, the OFDI catheter was entrapped in the EES, leading to a serious stent deformation. Under the guidance of the entrapped OFDI itself, we could recross another guidewire, successfully reconstruct the deformed stent, and retrieve the OFDI catheter.