Infective stent fractures with in-stent stenosis: Case series
DOI:
https://doi.org/10.7439/ijbr.v8i4.4112Keywords:
Pregabalin, post-operative analgesia, ear surgery, VASAbstract
Objective: To demonstrate incidence of infective coronary stent fractures and associated complications. Materials and Methods: A retrospective case series study was conducted in a tertiary care centre over two years (2015 and 2016). Patients who had chest pain, fever and breathlessness post drug eluting stent (DES) deployment were evaluated. ECG-gated coronary Computed Tomography (CT) angiography was performed using GE-Optima 128 slice scanner and GE Light speed - 64 slice scanner. Patients with arrhythmia, high calcium score, contrast allergy and bare metal stent (BMS) deployment were excluded from the study. Results: Out of the twenty-three patients evaluated post stent deployment five patients with drug eluting stent showed infective soft tissue, pseudo aneurysms with stent fracture and in-stent stenosis. Further follow up of these five cases post-antibiotic therapy for six weeks showed complete resorption of the infective soft tissue. Conclusion: This study establishes that computed tomography has emerged as an excellent tool for post-stent deployment coronary imaging and as a worthier replacement for conventional angiography especially in infective scenarios.Downloads
References
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