Abstract
A 53-year-old man with stable angina had a staged percutaneous coronary intervention to a critical focal stenosis of the mid-segment of the right coronary artery (RCA). Two hours after successful RCA stent implantation, the patient re-presented with inferior ST elevation secondary to acute dissection originating at the distal edge of the stent, causing subtotal occlusion of the distal RCA. The patient had TIMI-2 flow in the posterolateral branch and occlusion of the posterior descending artery. This case describes the procedural challenges the operators were faced with and successful use of the "rescue STAR" technique as a last resort.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Acute Coronary Syndrome* / diagnosis
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Acute Coronary Syndrome* / etiology
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Acute Coronary Syndrome* / physiopathology
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Acute Coronary Syndrome* / surgery
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Coronary Angiography / methods
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Coronary Stenosis / diagnosis
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Coronary Stenosis / surgery*
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Coronary Vessels / pathology
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Coronary Vessels / physiopathology
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Coronary Vessels / surgery*
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Drug-Eluting Stents / adverse effects*
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Electrocardiography / methods
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Humans
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Male
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Middle Aged
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Percutaneous Coronary Intervention* / adverse effects
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Percutaneous Coronary Intervention* / instrumentation
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Percutaneous Coronary Intervention* / methods
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Postoperative Complications / diagnosis
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Postoperative Complications / etiology
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Postoperative Complications / physiopathology
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Postoperative Complications / surgery
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Prosthesis Failure / adverse effects*
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Reoperation / methods
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Treatment Outcome