Entrapped optical frequency domain imaging-guided rewiring and reconstruction of a deformed coronary stent

• Published in: Cardiovascular intervention and therapeutics Vol. 32; no. 3; pp. 247 - 253
• Main Authors: Yanagiuchi, Takashi, Shiraishi, Jun, Shoji, Keisuke, Hyogo, Masayuki, Sawada, Takahisa, Kohno, Yoshio
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01.07.2017
• Subjects: Blood Vessel Prosthesis - adverse effects; Cardiac Catheterization - methods; Cardiology; Case Report; Coronary Disease - complications; Coronary Disease - diagnostic imaging; Coronary Disease - therapy; Coronary Vessels - diagnostic imaging; Drug-Eluting Stents - adverse effects; Humans; Interventional Radiology; Male; Medicine; Medicine & Public Health; Middle Aged; Plaque, Atherosclerotic - complications; Plaque, Atherosclerotic - diagnostic imaging; Tomography, Optical Coherence; Percutaneous coronary intervention; Optical coherence tomography; Acute myocardial infarction; Complications; Thin-cap fibroatheroma
• ISSN: 1868-4300; 1868-4297
• DOI: 10.1007/s12928-016-0400-6

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.