Korean Circ J.  2018 Nov;48(11):1030-1031. 10.4070/kcj.2018.0138.

Optical Coherence Tomography-guided Treatment of Multiple Stent Fracture in Patients with Overlapping Drug-eluting Stents

  • 1Division of Cardiology, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea. seranflute@gmail.com, seranflute@yu.ac.kr


No abstract available.

MeSH Terms

Drug-Eluting Stents*


  • Figure 1 (A) Coronary angiography shows intraluminal haziness (arrow) at the mid portion of the previous right coronary artery stent without significant in-stent restenosis. (B) Magnified fluoroscopic images showed suspicious complete separation with displacement of the previous drug-eluting stent overlapping site. (a-d) show each site of axial optical coherence images. (C) Longitudinal optical coherence tomographic images showed multiple stent fractures with 4 gaps. (D) 3D reconstructed stent strut images clearly demonstrated multiple stent fracture with 4 gaps (arrows). (E) 3D reconstructed images showed that the guide-wire was clearly inside the whole fractured stents. (F) After 4.0×18-mm Onyx (Medtronic, Minneapolis, MN, USA) implantation, the final angiogram revealed good distal flow without any residual stenosis or dissection. 3D = 3-dimensional.

Cited by  1 articles

Intravascular Ultrasound-Guided Treatment for In-stent Restenosis Associated with Stent Fracture in Overlapped Drug-eluting Stents
Min Chul Kim, Myung Ho Jeong, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Youngkeun Ahn
Chonnam Med J. 2019;55(3):165-167.    doi: 10.4068/cmj.2019.55.3.165.


1. Kan J, Ge Z, Zhang JJ, et al. Incidence and clinical outcomes of stent fractures on the basis of 6,555 patients and 16,482 drug-eluting stents from 4 centers. JACC Cardiovasc Interv. 2016; 9:1115–1123.
2. Kim U, Kim DI, Kim DK, et al. Long-term clinical and angiographic outcomes of patients with sirolimus-eluting stent fracture. Int J Cardiol. 2012; 158:83–87.
3. Doi H, Maehara A, Mintz GS, et al. Classification and potential mechanisms of intravascular ultrasound patterns of stent fracture. Am J Cardiol. 2009; 103:818–823.
Full Text Links
  • KCJ
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr