Lots of interesting abstracts and cases were submitted for TCTAP 2022. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!
TCTAP C-122
Stent Fracture
By Gregorius Didi
Presenter
Gregorius Didi
Authors
Gregorius Didi1
Affiliation
Putri Hijau Hospital, Indonesia1,
View Study Report
TCTAP C-122
CORONARY - Drug-Eluting Balloons
Stent Fracture
Gregorius Didi1
Putri Hijau Hospital, Indonesia1,
Clinical Information
Patient initials or Identifier Number
TH
Relevant Clinical History and Physical Exam
Patient came with chest discomfort and uncontrolled diabetes, and past history of PCI (2013,2015,2018,2021). We did PCI and put stent on LAD. After 2 months, he came again with the same symptoms, then we performed angiography.
Presentation 12 (BW) T H.pptx
Presentation 12 (BW) T H.pptxRelevant Test Results Prior to Catheterization
From the last angiography, we found that there was a stent fracture.
Relevant Catheterization Findings
Stent fracture
Interventional Management
Procedural Step
The patient comes to the hospital with complaints of chest discomfort and uncontrolled blood sugar. Previously, the patient had stent (PCI) installation in 2013, 2015, 2018 and 2021. Currently, the patient came back after about two months of installing a stent (PCI) in the mid LAD with the same complaints, namely chest discomfort and high sugar levels. We did angiography and we got a stent fracture in the mid LAD, then we did an IVUS examination to confirm the morning of the stent fracture and determine the type of fracture. After knowing the exact location of the stent fracture, we did the preparation using a Cutting Balloon and we put DES in the mid LAD (the place where the fracture was).
Case Summary
Stent fracture can occur at any time; it is most common in RCA. However, in this case, it occurred in LAD. And when using Imaging (IVUS) we can more definitely see and confirm the lesions or fractures that occur.