Longitudinal deformation of a third generation zotarolimus eluting stent:“The concertina returns.”

In the current case series we describe two cases of longitudinal stent deformation in ostial lesions treated with a new generation zotarolimus eluting stent and review current literature on longitudinal stent deformation. Historically not a common occurrence,longitudinal deformation occurred mainly...

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Published inWorld journal of cardiology Vol. 9; no. 1; pp. 60 - 64
Main Authors Panoulas, Vasileios F, Demir, Ozan M, Ruparelia, Neil, Malik, Iqbal
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 26.01.2017
Subjects
Case Report
Coronary stents
Coronary angioplasty
Procedural complications
Longitudinal stent deformation
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ISSN1949-8462
1949-8462
DOI10.4330/wjc.v9.i1.60

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Abstract In the current case series we describe two cases of longitudinal stent deformation in ostial lesions treated with a new generation zotarolimus eluting stent and review current literature on longitudinal stent deformation. Historically not a common occurrence,longitudinal deformation occurred mainly in Promus Element everolimus eluting stents,which had only two rather than the commonly used 3 links between stent rings. Longitudinal deformation commonly occurs secondary to compression of the proximal edge of the stent by either the guide catheters,or intravascular balloons and imaging catheters. The degree of deformation however,depends on the longitudinal strength and design of the stent.
AbstractList In the current case series we describe two cases of longitudinal stent deformation in ostial lesions treated with a new generation zotarolimus eluting stent and review current literature on longitudinal stent deformation. Historically not a common occurrence, longitudinal deformation occurred mainly in Promus Element everolimus eluting stents, which had only two rather than the commonly used 3 links between stent rings. Longitudinal deformation commonly occurs secondary to compression of the proximal edge of the stent by either the guide catheters, or intravascular balloons and imaging catheters. The degree of deformation however, depends on the longitudinal strength and design of the stent.
In the current case series we describe two cases of longitudinal stent deformation in ostial lesions treated with a new generation zotarolimus eluting stent and review current literature on longitudinal stent deformation. Historically not a common occurrence, longitudinal deformation occurred mainly in Promus Element everolimus eluting stents, which had only two rather than the commonly used 3 links between stent rings. Longitudinal deformation commonly occurs secondary to compression of the proximal edge of the stent by either the guide catheters, or intravascular balloons and imaging catheters. The degree of deformation however, depends on the longitudinal strength and design of the stent.In the current case series we describe two cases of longitudinal stent deformation in ostial lesions treated with a new generation zotarolimus eluting stent and review current literature on longitudinal stent deformation. Historically not a common occurrence, longitudinal deformation occurred mainly in Promus Element everolimus eluting stents, which had only two rather than the commonly used 3 links between stent rings. Longitudinal deformation commonly occurs secondary to compression of the proximal edge of the stent by either the guide catheters, or intravascular balloons and imaging catheters. The degree of deformation however, depends on the longitudinal strength and design of the stent.
Author Vasileios F Panoulas Ozan M Demir Neil Ruparelia Iqbal Malik
AuthorAffiliation Cardiology Department,Imperial College Healthcare NHS Trust,Hammersmith Hospital;National Heart and Lung Institute,Imperial College London;Department of Cardiology,Royal Brompton and Harefield,NHS Foundation Trust,Harefield Hospital
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Keywords Coronary stents
Coronary angioplasty
Procedural complications
Longitudinal stent deformation
Language English
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Notes Vasileios F Panoulas;Ozan M Demir;Neil Ruparelia;Iqbal Malik;Cardiology Department,Imperial College Healthcare NHS Trust,Hammersmith Hospital;National Heart and Lung Institute,Imperial College London;Department of Cardiology,Royal Brompton and Harefield,NHS Foundation Trust,Harefield Hospital
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Author contributions: Panoulas VF and Demir OM contributed equally to this work; Panoulas VF and Demir OM wrote the case report; Ruparelia N edited the manuscript and contributed to image formatting; Malik I reviewed and edited the manuscript.
Correspondence to: Dr. Vasileios F Panoulas, MD, PhD, MRCP, FESC, Department of Cardiology, Royal Brompton and Harefield, NHS Foundation Trust, Harefield Hospital, Hill End Road, Harefield, Greater London UB9 6JH, United Kingdom. v.panoulas@imperial.ac.uk
Telephone: +44-1895-823737-5200 Fax: +44-1895-828892
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