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1.
Yonsei Medical Journal ; : 458-461, 2017.
Artigo em Inglês | WPRIM | ID: wpr-117395

RESUMO

Percutaneous transluminal coronary angioplasty with metal stent placement has become a well-developed treatment modality for coronary stenotic lesions. Although infection involving implanted stents is rare, it can, however, occur with high morbidity and mortality. We describe herein a case of an inserted coronary stent that was infected and complicated with recurrent stent thrombosis, pseudoaneurysm formation and severe sepsis. Despite repeated intervention and bypass surgery, the patient died from severe sepsis.


Assuntos
Humanos , Falso Aneurisma , Angioplastia Coronária com Balão , Mortalidade , Infarto do Miocárdio , Sepse , Stents , Trombose
2.
Yonsei Medical Journal ; : 462-466, 2017.
Artigo em Inglês | WPRIM | ID: wpr-117394

RESUMO

Subclavian artery (SCA) perforation is a rare complication while performing SCA intervention. In our present report, a 73-year-old female, with stenosis of the left SCA and situs inversus, presented with exercise-induced left arm weakness. The SCA stenosis was treated with direct stenting with a balloon-expansible Express LD 10×25 mm stent. However, it caused iatrogenic SCA perforation and hemothorax. The perforation was sealed by endovascular repair with operator-modified Endurant II graft stent, which complicated with occlusion of left common carotid artery. And, the carotid artery was rescued by another stent. The graft stent, which was originally designed for abdominal aortic aneurysm, can be modified to suitable length and take as a rescue stent of large vessel with iatrogenic perforation. Due to strong radial force of graft stent, preservation of large side branches should been watched out.


Assuntos
Idoso , Feminino , Humanos , Aneurisma da Aorta Abdominal , Braço , Artérias Carótidas , Artéria Carótida Primitiva , Constrição Patológica , Hemotórax , Situs Inversus , Stents , Artéria Subclávia , Síndrome do Roubo Subclávio , Transplantes
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