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Progressive Retrograde Acute Coronary Occlusion after Gianturco-Roubin Stenting

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Title: Progressive Retrograde Acute Coronary Occlusion after Gianturco-Roubin Stenting
Authors: Kose, Noriyuki / Fujiwara, Hideki / Miyahara, Yoshiyuki / Kohno, Shigeru
Issue Date: 16-Dec-1998
Citation: Acta medica Nagasakiensia. 1998, 43(3-4), p.83-87
Abstract: We report a case of progressive retrograde acute coronary occlusion after Gianturco-Roubin (GR) stenting in a patient with two vessel diseases. A GR stent was implanted in the proximal part of the left anterior descending artery (LAD) because of suboptimal results of percutaneous transluminal coronary angioplasty (PTCA). More than 90% stenosis occurred in the non-stented region just distal to the edge of the GR stent. Another stenosis ensued mid-stent after PTCA was performed for that lesion. Acute occlusion from the mid- LAD to the main trunk progressed immediately after PTCA for the LAD. The patient died of cardiogenic shock despite repeated bail-out PTCA procedures for both the main trunk and the proximal LAD. Acute retrograde occlusion might be caused by in-stent thrombosis, or acute recoil of GR stent associated with insufficient stent dilatation and acute coronary arterial elastic recoil.
Keywords: GR stent / recoil / acute retrograde occlusion
URI: http://hdl.handle.net/10069/16122
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 43, No. 3-4

Citable URI : http://hdl.handle.net/10069/16122

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