Catheterization and Cardiovascular Interventions

Coronary Artery Disease

Stent fracture: An unusual cause of late restenosis after sirolimus-eluting stent placement^†

Corresponding Author

Anderson Mehrle MD

[email protected]

Department of Internal Medicine, Cardiovascular Division, University of Mississippi Medical Center, Jackson, Mississippi

Cardiology Division, University of Mississippi Medical Center, Jackson, MS 39216Search for more papers by this author

Thomas Skelton MD,

Thomas Skelton MD

Department of Internal Medicine, Cardiovascular Division, University of Mississippi Medical Center, Jackson, Mississippi

Search for more papers by this author

Alexandra Almonacid MD,

Alexandra Almonacid MD

The Brigham and Women's Hospital, Boston, Massachusetts

Search for more papers by this author

Anderson Mehrle MD,

Corresponding Author

Anderson Mehrle MD

[email protected]

Department of Internal Medicine, Cardiovascular Division, University of Mississippi Medical Center, Jackson, Mississippi

Cardiology Division, University of Mississippi Medical Center, Jackson, MS 39216Search for more papers by this author

Thomas Skelton MD,

Thomas Skelton MD

Department of Internal Medicine, Cardiovascular Division, University of Mississippi Medical Center, Jackson, Mississippi

Search for more papers by this author

Alexandra Almonacid MD,

Alexandra Almonacid MD

The Brigham and Women's Hospital, Boston, Massachusetts

Search for more papers by this author

First published: 26 December 2006

https://doi.org/10.1002/ccd.21027

Citations: 14

^†

The case was presented at the Society for Cardiovascular Angiography and Intervention Complex Coronary Complications Summit May 2006.

Share a link

Email
Wechat
Bluesky

Abstract

Stent fracture is uncommon but may have consequences including restenosis. To date, stent fractures reported have been related to aggressive post dilation. We describe a case that involves fracture of a stent deployed to nominal pressure. Unlike most stent fractures reported that involve stent struts only our case demonstrated circumferential disruption with complete separation of the stent segments. © 2006 Wiley-Liss, Inc.

REFERENCES

1 Moses J,Leon M,Popma J,Fitzgerald P,Holmes D, et al. Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med 2003; 349: 1315–1323.
10.1056/NEJMoa035071
CAS PubMed Web of Science® Google Scholar
2 Stone G,Ellis S,Cox D,Hermiller J,O'Shaughnessy C, et al. A polymer-based, paclitaxel-eluting stent in patients with coronary artery disease. N Engl J Med 2004; 350: 221–231.
10.1056/NEJMoa032441
CAS PubMed Web of Science® Google Scholar
3 Min P,Yoon Y,Moon KH. Delayed strut fracture of sirolimus-eluting stent: a significant problem or an occasional observation? Int J Cardiol 2006; 106: 404–406.
10.1016/j.ijcard.2004.12.087
PubMed Web of Science® Google Scholar
4 Sianos G,Hofma S,Ligthart J,Saia F,Hoye A, et al. Stent fracture and restenosis in the drug-eluting stent era. Catheter Cardiovasc Interv 2004; 61: 111–116.
10.1002/ccd.10709
PubMed Web of Science® Google Scholar
5 Chowdhury P,Ramos R. Images in clinical medicine. Coronary-stent fracture. N Engl J Med 2002; 347: 581.
10.1056/NEJMicm020259
PubMed Web of Science® Google Scholar
6 Brilakis E,Maniu C,Wahl M,Barsness G. Unstable angina due to stent fracture. J Invasive Cardiol 2004; 16: 545.
PubMed Google Scholar
7 Halkin A,Carlier S,Leon MB. Late incomplete lesion coverage following Cypher stent deployment for diffuse right coronary artery stenosis. Heart 2004; 90: e45.
10.1136/hrt.2004.034538
CAS PubMed Web of Science® Google Scholar
8 Hamilos M,Papafaklis M,Ligthart J,Serruys P,Sianos G. Stent fracture and restenosis of a paclitaxel-eluting stent. Hellenic J Cardiol 2005; 46: 439–442.
PubMed Google Scholar
9 Makaryus AN,Lefkowitz L,Lee AD. Coronary artery stent fracture. Int J Cardiovasc Imaging, in press.
PubMed Google Scholar
10Wilczynska J,Rdzanek A,Kochman J,Horszczaruk GJ,Pietrasik A,Opolski G.Sirolimus eluting stent fracture following angioplasty of diffuse in-stent restenosis in the right coronary artery.Int J Cardiol, in press.
PubMed Google Scholar
11 Surmely J-F,Kinoshita Y,Dash D,Matsubara T,Terashima M, et al. Stent stut fracture-induced restenosis in a bifurcation lesion treated with crush stenting technique. Circulation J 2006; 70: 936–938.
10.1253/circj.70.936
PubMed Web of Science® Google Scholar
12 Dorsch M,Seidelin P,Blackman DJ. Stent fracture and collapse in spahenous vein graft causing occlusive restenosis. J Invasive Cardiol 2006; 18: E137–139.
PubMed Google Scholar
13 Marrey R,Burgermeister R,Grishaber R,Ritchie R. Fatigue and life prediction for cobalt-chromium stents: A fracture mechanics analysis. Biomaterials 2006; 27: 1988–2000.
10.1016/j.biomaterials.2005.10.012
CAS PubMed Web of Science® Google Scholar
14 Murphy B,Savage P,McHugh P,Quinn D. The stress-strain behavior of coronary stent struts is size dependent. Ann Biomed Eng 2003; 31: 686–691.
10.1114/1.1569268
CAS PubMed Web of Science® Google Scholar

Citing Literature

Volume69, Issue7

1 June 2007

Pages 988-991

SCAI Member Sign in

Stent fracture: An unusual cause of late restenosis after sirolimus-eluting stent placement^†

Abstract

REFERENCES

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Stent fracture: An unusual cause of late restenosis after sirolimus-eluting stent placement†

Abstract

REFERENCES

Citing Literature

References

Related

Information

Stent fracture: An unusual cause of late restenosis after sirolimus-eluting stent placement^†