Angioscopic and optical coherence tomographic evaluation of neointimal coverage: 9 months after expandable polyterafluoroethylene covered stent implantation.

Abstract:

:An expandable polytetrafluoroethylene (ePTFE) covered stent is generally employed to seal coronary artery perforation. The frequency of ePTFE covered stent use is relatively low; thus, only a handful of studies have reported neointimal coverage and endothelialization inside the deployed ePTFE and clinical time course after ePTFE implantation. This case report presents a 78-year-old man treated with an ePTFE covered stent when he suffered from coronary artery perforation after the implantation of two everolimus eluting stents in the left anterior descending artery. Follow-up coronary angiography 9 months after ePTFE covered stent implantation depicted favorable stent patency. Optical coherence tomography showed thin and uneven stent strut coverage at the culprit. Angioscopy also depicted partial white-coated coverage and stent strut exposure. The outcome of this case suggested that long-term dual antiplatelet therapy should be prescribed for preventing thrombosis after ePTFE covered stent implantation.

journal_name

Heart Vessels

journal_title

Heart and vessels

authors

Kongoji K,Ishibashi Y,Kotoku N,Kasahara M,Yamazaki H,Mitarai T,Kamijima R,Koyama K,Yoneyama K,Tanabe Y,Akashi YJ

doi

10.1007/s00380-017-0964-9

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

777-779

issue

6

eissn

0910-8327

issn

1615-2573

pii

10.1007/s00380-017-0964-9

journal_volume

32

pub_type

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