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Scientific paper - Case study
Case Report: To Stop on Time – One of the Hardest Decisions: ‘Loss’ of the Stent in a Calcified RCA
Acta clinica Croatica, 63. (2024), Supplement 1; 116-119. https://doi.org/10.20471/acc.2024.63.s1.22
Rosović, Ivan; Avdagić, Damir; Miškulin, Rajko

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Rosović, I., Avdagić, D. & Miškulin, R. (2024). Case Report: To Stop on Time – One of the Hardest Decisions: ‘Loss’ of the Stent in a Calcified RCA. Acta clinica Croatica, 63.. (Supplement 1), 116-119. doi: 10.20471/acc.2024.63.s1.22

Rosović, Ivan, et al. "Case Report: To Stop on Time – One of the Hardest Decisions: ‘Loss’ of the Stent in a Calcified RCA." Acta clinica Croatica, vol. 63., no. Supplement 1, 2024, pp. 116-119. https://doi.org/10.20471/acc.2024.63.s1.22

Rosović, Ivan, Damir Avdagić and Rajko Miškulin. "Case Report: To Stop on Time – One of the Hardest Decisions: ‘Loss’ of the Stent in a Calcified RCA." Acta clinica Croatica 63., no. Supplement 1 (2024): 116-119. https://doi.org/10.20471/acc.2024.63.s1.22

Rosović, I., Avdagić, D. and Miškulin, R. (2024) 'Case Report: To Stop on Time – One of the Hardest Decisions: ‘Loss’ of the Stent in a Calcified RCA', Acta clinica Croatica, 63.(Supplement 1), pp. 116-119. doi: 10.20471/acc.2024.63.s1.22

Rosović I, Avdagić D, Miškulin R. Case Report: To Stop on Time – One of the Hardest Decisions: ‘Loss’ of the Stent in a Calcified RCA. Acta clinica Croatica [Internet]. 2024 [cited 2024 November 11];63.(Supplement 1):116-119. doi: 10.20471/acc.2024.63.s1.22

I. Rosović, D. Avdagić and R. Miškulin, "Case Report: To Stop on Time – One of the Hardest Decisions: ‘Loss’ of the Stent in a Calcified RCA", Acta clinica Croatica, vol. 63., no. Supplement 1, pp. 116-119, 2024. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:230767. [Accessed: 11 November 2024]

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Metadata
Title (english)Case Report: To Stop on Time – One of the Hardest Decisions: ‘Loss’ of the Stent in a Calcified RCA
Title (croatian)Prikaz slučaja: "Stati na vrijeme jedna je od najtežih odluka: "gubitak" stenta u kalcificiranoj RCA"
AuthorIvan Rosović
AuthorDamir Avdagić
AuthorRajko Miškulin
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Rehabilitatiom Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
A case report of a 63-year-old man who was indicated for invasive coronarography during outpatient treatment. The completed coronarography confirmed a significant stenosis in the highly calcified right coronary artery (RCA). In order to determine the hemodynamic significance of the borderline significant stenosis of the curved branch of the left coronary artery, FFR was performed. Despite the use of non-compliance balloons and high-pressure OPN balloons during elective PCI-RCA, the lesion in question could not be predilated, resulting in the need for the patient to undergo PCI-RCA with rotablation. During the repeated PCI-RCA procedure, the proximal and middle segments were subjected to rotablation. Non-compliant balloon catheters were used to perform a successful predilatation of the middle segment lesion and to try to place a stent in the designated lesion. Due to the calcified curve of the proximal segment, the stent was unable to pass through while being retracted into the leading catheter, causing it to fall into the proximal segment. The stent balloon was used to push the stent and insert it into the curve between the proximal and middle segment. A small balloon catheter (1.2 x 15 mm) successfully passed through the unexpanded stent. After subsequent inflating of the small balloon catheter and further inflating of larger balloons the lost stent was fully expanded and implanted with optimal control coronarography findings.
Abstract (croatian)
Prikaz slučaja šezdesettrogodišnjeg muškarca kojemu je temeljem ambulantno učinjene obrade indicirana invazivna koronarografija. Na učinjenoj koronarografiji verificirana je značajna stenoza izrazito kalcificirane desne koronarne arterije (RCA), a zbog granično značajne stenoze zavijene grane lijeve koronarne arterije, učinjen je FFR kojim se isključi hemodinamska značajnost iste. Pacijent je naručen na elektivnu PCI – RCA, ali, usprkos primjeni „ non compliance“ balona te high pressure OPN balona, ne uspije se predilatirati navedenu leziju te se u pacijenta indicira pokušaj PCI-RCA uz pomoć rotablacije. Na ponovljenoj PCI-RCA, učini se rotablacija proksimalnog i srednjeg segmenta. Balon kateterima „non compliance“ učini se uspješna predilatacija lezije srednjeg segmenta i pokuša plasirati stent u navedenu leziju. Obzirom da se istim ne uspije proći kalcificirani zavoj proksimalnog segmenta prilikom retrakcije istoga u vodeći kateter dolazi do njegova ispadanja u proksimalni segment. Stent balonom navedeni stent se pogura i uglavi u zavoju iz proksimalnog u srednji segment. Kroz neekspandirani stent uspije se proći malim balon kateterom (1,2x15mm) te njegovim napuhivanjem i daljnim napuhivanjem sve većih balona uspije u potpunosti ekspandirati i implantirati otpali stent uz optimalan kontrolni koronarografski nalaz.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 63., no. Supplement 1, pp. 116-119
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2024.63.s1.22
URN:NBNurn:nbn:hr:184:230767
Publication2024
Document URLhttps://hrcak.srce.hr/321432
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-10-16 07:57:47