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Indian Heart J. 2012 Sep-Oct;64(5):518-20. doi: 10.1016/j.ihj.2012.07.012. Epub 2012 Jul 27.

Longitudinal deformation - price we pay for better deliverability of coronary stent platforms.

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  • 1Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India. icvddoctors@mmm.org.in

Abstract

Coronary stents, especially drug eluting stents (DES), have revolutionized the practice of interventional cardiology. Newer stents are manufactured by altering basic design characteristics to tackle complex coronary morphologies more effectively. Alteration in one particular attribute might affect other attributes adversely. Even though, reduction in the number and alteration of the orientation of the connectors improves the stent flexibility and deliverability, it adversely decreases the axial strength of the stent with resulting longitudinal stent deformation. A 67 year old female underwent percutaneous coronary intervention for a mid left anterior descending artery stenosis with a 2.75 × 16 mm Promus Element stent (Boston Scientific, Natick, Massachusetts). The stent got longitudinally distorted during post-stent balloon dilatation which was effectively managed with further dilatation with non-compliant balloon.

Copyright © 2012 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

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