- 期刊
Accidental Stenting Out of Stent: A Lesson from No-Reflow after New Stent Deployment Outside the Prior Stent
並列摘要
An operator can be unaware that the guide wire has accidentally advanced into space outside the previous stent, which can result in deformation of the previous stent when a new stent is deployed outside the prior stent. We herein have reported a case of accidental guide wire advancement into a previously dissected lumen of right coronary artery (RCA), resulting in a new stent deploying outside the prior stent, resulting in deformity of the prior stent. Thrombus and friable atheromatous plaques dislodged andmigrated to occlude distal RCA when attempting to restore the proximal luminal diameter by balloon inflation, resulting in profound shock with asystole. IVUS was successful in identifying the cause, and the thrombus was removed successfully by manual aspiration. Due to the poor endothelization of a recent stenting, clinicians should be particularly careful of possible wire advancing outside the stent structure, which can result in prominent thrombus or atheromatous debris occluding the distal vessel, and IVUS may be useful in confirming the cause of no-reflow.
延伸閱讀
- 黃曉峰、熊小澐、何師竹（2001）。Self-Expandable Metallic Stent for Patients with Colorectal Obstruction-A Case Report and Review。中華民國婦癌醫學雜誌，(2001年1)，19-30。https://doi.org/10.7010/JGO.200104.0019
- 蔡伯謙（2015）。New Stent Design with Round and Hollow Stent Struts〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2015.11064
- D, P., G, D., D, B., C, P., G, T., A, R., G, A., & P, A. (2015). Intra-stent Coronary Perforation: A Race against Time. International Journal of Clinical Therapeutics and Diagnosis (IJCTD), 3(2), 77-80. https://www.airitilibrary.com/Article/Detail?DocID=P20151027002-201504-201510270003-201510270003-77-80
- 彭慧美、劉慧玲、龔慧瑜、明金蓮（2014）。Perioperative Nursing Experience of a Patient Receiving a Mini-invasive AAA Stent Graft。榮總護理，31(4)，371-378。https://doi.org/10.6142/VGHN.31.4.371
- Chu, C. S., Lee, S. T., Lee, K. T., Lin, T. H., Lin, C. T., Voon, W. C., Sheu, S. H., & Lai, W. T. (2005). Successful Retrieval of Dislodged Paclitaxel-Eluting Stent with a Nitinol Loon Snare: A Case Report. The Kaohsiung Journal of Medical Sciences, 21(11), 566-570. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200511-21-11-566-570-a