Table 3.
Six Lesions (Five Patients) with Cobalt-Chromium Everolimus-Eluting Stent Fracture
| Case | Age (yrs) | Sex | Vessel | Stent type | Stent length (mm) | Indication of stenting | Lesion calcification | Duration of implant (days) | Cause of death | Stent outcome | Number of fracture site (non-linear link/crown) | Fracture grade |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 55 | M | RCA (prox) | Xience V x2 + Taxus Ex x1 | 30 | Stable CAD | Severe | 180 | SRD (LST) | LST at non-FS | 2 (2/0) | II |
| 2 | 56 | M | LAD (prox) | Xience V x1 + ML Vision x2 | 45 | Stable CAD | None | 80 | NCD (ARDS, vasculitis) | Restenosis at non-FS | 1 (1/0) | I |
| 3 | 51 | M | LOM (dist) | Xience V x1 | 28 | Stable CAD | Mild | 101 | SRD (restenosis with diffuse CAD) | Restenosis at FS | 9 (9/0) | V |
| 4 | 82 | M | SVG (prox) | Xience V x1 | 18 | ACS | Mild | 360 | NSRCD (diffuse CAD) | Patent | 1 (1/0) | I |
| 5* | 70 | F | LM-LCX (prox) | Xience V x2 | 28 | ACS | Severe | 167 | SRD (restenosis) | Restenosis at FS | 4 (1/3) | III |
| 70 | F | RCA (dist) | Xience V x1 | 12 | ACS | Severe | 167 | SRD (restenosis) | Restenosis at FS | 3 (2/1) | III |
*
Previously published case (Foerst JR, et al. JACC. Cardiovascular Interventions 2012;5: 239–242).
ARDS=acute respiratory distress syndrome; Ex=Express; FS=fracture site; LOM=left obtuse marginal branch; LST=late stent thrombosis; ML=Multi-Link, NCD=noncardiac death; NSRCD=nonstent-related cardiac death; SRD=stent-related death; SVG=saphenous vein graft. Other abbreviations as in Table 1.