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Longitudinal Stent Deformation at the Proximal Segment of the Left Main Coronary Artery Caused by a Stuck OCT Catheter: Case Report and Review of Literature
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1
Senior Department of Cardiology, the First Medical Center of PLA General Hospital, 100853 Beijing, China
2
Senior Department of Cardiology, the Sixth Medical Center of PLA General Hospital, 100853 Beijing, China
3
Senior Department of Cardiology, the Second Medical Center of PLA General Hospital, 100853 Beijing, China
4
Department of Cardiology, Gu'an County Hospital of Traditional Chinese Medicine, 065500 Langfang, Hebei, China
5
Senior Department of Cardiology, Yulin First Hospital, 719000 Yulin, Shaanxi, China
*Correspondence: nkgaolei2010@126.com (Lei Gao)
†These authors contributed equally.
†These authors contributed equally.
Rev. Cardiovasc. Med. 2024, 25(4), 119;
https://doi.org/10.31083/j.rcm2504119
Submitted: 28 August 2023 | Revised: 10 November 2023 | Accepted: 24 November 2023 | Published: 28 March 2024
(This article belongs to the Section Cardiovascular Intervention and Therapeutics)
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract
It has been rarely reported that a stuck optical coherence tomography (OCT) catheter can lead to longitudinal stent deformation (LSD). This complication can result in incomplete stent apposition and dissection after stent implantation. In this study, we present a case where a bailout stent was implanted in the distal segment of the left anterior descending artery (LAD) after longitudinal stent deformation caused by a stuck OCT catheter. This approach was taken to prevent acute stent thrombosis, subacute stent thrombosis, in-stent restenosis (ISR), and death. The patients were followed up for one year, and no adverse events were observed.
Keywords
longitudinal stent deformation
optical coherence tomography
complication
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