Multiple and recurrent coronary stent fractures
Alqarqaz, M.; Albashaireh, D.; Guerrero, M.
Journal of Invasive Cardiology 26(1): E7-12
2014
ISSN/ISBN: 1557-2501 PMID: 24402813 Document Number: 672249
Coronary stent fracture is an increasingly recognized complication mainly involving drug-eluting stents. Important clinical implications, including in-stent restenosis and stent thrombosis, have been associated with this phenomenon. Variable incidence rates and several predisposing factors have been reported, but no general agreement exists on the best treatment strategy. We report a case of recurrent multiple left anterior descending artery sirolimus-eluting stent fractures, with variable clinical presentations ranging from recurrent angina to acute myocardial infarction and ventricular fibrillation cardiac arrest, that were ultimately treated with coronary artery bypass surgery.