Bioresorbable stent unloading during percutaneous coronary intervention:Early detection and management  

作　　者：Nabil Eid Mohamed Abdel Wahab Amardev Singh Thanu 

机构地区：[1]Department of Anatomy,Division of Human Biology,School of Medicine,IMU University,Kuala Lumpur 57000,Kuala Lumpur,Malaysia [2]Department of Pediatrics,School of Medicine,IMU University,Clinical Campus,Batu Paha 83000,Johor,Malaysia [3]M.Kandiah Faculty of Medicine and Health Sciences,University Tunku Abdul Rahman,Kajang 43000,Selangor,Malaysia

出　　处：《World Journal of Cardiology》2024年第10期616-618,共3页世界心脏病学杂志（英文）

摘　　要：In this letter,we comment on a recent case report by Sun et al in the World Journal of Cardiology.The report describes the successful management of a rare complication:The unloading or detachment of a bioresorbable stent(BRS)during percutaneous coronary intervention(PCI)in a male patient.The unloading of BRS was detected via angiography and intravascular ultrasound(IVUS)imaging of the left coronary artery and left anterior descending artery.Although this case is interesting,the authors’report lacked crucial details.Specifically,insufficient information about the type of BRS used,potential causes of BRS unloading,or whether optical coherence tomography(OCT)imaging for coronary arteries was performed before,during,or after PCI.The OCT imaging of coronary arteries before PCI can potentially prevent BRS unloading due to its higher resolution compared to IVUS.In addition,despite detecting myocardial bridging during the PCI,the authors did not provide any details regarding this variation.Here we discuss the various types of BRS,the importance of OCT in PCI,and the clinical relevance of myocardial bridging.

关 键 词：Coronary artery diseases Percutaneous coronary intervention Optical coherence tomography Bioresorbable/Biodegradable stents Stent unloading/detachment Myocardial bridge Intravascular ultrasound Coronary angiography 

分 类 号：R543.3[医药卫生—心血管疾病]