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Cardiovascular Intervention and Therapeutics

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01-07-2017 | Case Report

Nine-year follow-up of progressive peri-stent contrast staining after Cypher sirolimus-eluting stent implantation: a case report

Authors: Masayuki Hyogo, Takahisa Sawada, Jun Shiraishi, Yoshio Kohno

Published in: Cardiovascular Intervention and Therapeutics | Issue 3/2017

Abstract

A 62-year-old male underwent three percutaneous coronary interventions involving four bare metal stents and six Cypher sirolimus-eluting stents within 1 month. At the latest coronary angiographic examination, all of the Cypher stents, but none of the bare metal stents, exhibited peri-stent contrast staining. Moreover, these findings had progressively worsened over time, especially for lesions where two stents came into contact or stent fracture had occurred. It is rare for Cypher stent implantation to result in progressive peri-stent contrast staining, but patients who are treated with these stents should be carefully followed-up, including for stent thrombosis.

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.CrossRefPubMed

Imai M, Kimura T, Morimoto T, Saito N, Shiomi H, Kawaguchi R, et al. Impact of angiographic peri-stent contrast staining (PSS) on late adverse events after sirolimus-eluting stent implantation: an observation from the multicenter j-Cypher registry PSS substudy. Cardiovasc Interv Ther. 2014;29:226–36.CrossRefPubMed

Inoue K, Mitsudo K, Nobuyoshi M. Medial necrosis due to sirolimus-eluting stent implantation in human coronary artery. J Cardiol. 2008;51:60–4.CrossRefPubMed

Fukui S, Endo H, Nakajima S, Takahashi T, Nakamura A, Nozaki E. A case report of very late stent thrombosis observed simultaneously in all three vessels 5 years after sirolimus-eluting stent implantation. Cardiovasc Interv Ther. 2014;29:151–6.CrossRefPubMed

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 cautious? Circulation. 2004;109:701–5.CrossRefPubMed

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:e1–3.CrossRefPubMed

Okamura T, Hiro T, Fujii T, Yamada J, Fukumoto Y, Hashimoto G, et al. Late giant coronary aneurysm associated with a fracture of sirolimus eluting stent: a case report. J Cardiol. 2008;51:74–9.CrossRefPubMed

Kim SH, Kim HJ, Han SW, Jung SM, Kim JS, Chee HK, et al. A fractured sirolimus-eluting stent with a coronary aneurysm. Ann Thorac Surg. 2009;88:664–5.CrossRefPubMed

D’Amico M, Frisenda V, Conrotto F, Pennone M, Scacciatella P, Marra S. Fracture of coronary artery sirolimus eluting stent with formation of four aneurysms. J Cardiovasc Med. 2015;16:S125–9.CrossRef

10.

Lu H, Ge L, Ge J. Coronary aneurysm and stent fracture following stenting of a myocardial bridge. Catheter Cardiovasc Interv. 2016;87:E15–8.CrossRefPubMed

11.

Tada T, Kadota K, Hosogi S, Kubo S, Ozaki M, Yoshino M, et al. Optical coherence tomography findings in lesions after sirolimus-eluting stent implantation with peri-stent contrast staining. Circ Cardiovasc Interv. 2012;5:649–56.CrossRefPubMed

Title: Nine-year follow-up of progressive peri-stent contrast staining after Cypher sirolimus-eluting stent implantation: a case report
Authors: Masayuki Hyogo
Takahisa Sawada
Jun Shiraishi
Yoshio Kohno
Publication date: 01-07-2017
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 3/2017
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-016-0420-2

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