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Endoscopic Findings of an Excessively Compressed Interwoven Nitinol Supera Stent

机译:过压的交织间镍钛诺超级支架的内窥镜发现

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An 84-year-old woman who presented with a nonhealingulceration on a left toe despite treatmentfor several months was admitted to hospital. In thefirst session, the patient underwent endovascular treatment(EVT) for chronic total occlusion of the left superficialfemoral artery with severe calcification, and a Supera stent(5.5×150mm) (SUPERATM stent, Abbott Vascular, SantaClara, CA, USA) was deployed. After the stent was releasedfrom its sheath, compression of the Supera stent wasobserved on angiography. Subsequently, post-dilatationwas performed with a 6.0×150-mm high-pressure balloon(SHIDEN HP?, KANEKA Medics, Osaka, Japan).Final angiogram and intravascular ultrasound indicatedan acceptable result. On high-resolution angioscopy(Forwardlooking?, OVALIS, Osaka, Japan) 1 week afterEVT, the Supera stent was compressed, with the appearanceof a spider nest (Figure A). It had the appearance of a spiderweb, i.e., the wires constituting the stent intertwine eachother. Even though the compression was mild and uniform(Figure B,C), the wire of the Supera stent protruded intothe vessel lumen. Given that these lesions will not be endothelialized,the risk of a thrombotic event will persist.
机译:一名84岁的女性在左脚趾上呈现出不热衷的款待,尽管有几个月的待遇是入院的。在流派期间,患者接受了血管内治疗(EVT)用于留下左侧腐败的慢性总闭塞,严重钙化,并部署了超级支架(5.5×150mm)(5.5×150mm)(超级支架,雅培血管,Santaclara,CA,USA)。支架在其护套释放后,在血管造影上压缩超级支架。随后,使用6.0×150mm高压气球(Shiden HP?,Kaneka Medics,Osaka,Japan)进行的膨胀性器。Finain血管造影和血管内超声表示,指示an可接受的结果。在高分辨率血管镜检查(overglooking?,Ovalis,Osaka,Japan)1周Aftereervt,超级支架被压缩,外观蜘蛛巢(图A)。它的外观是蜘蛛网,即构成支架互相互相困境的电线。即使压缩是温和且均匀的(图B,C),超级支架的导线突出了容器内腔。鉴于这些病变不会被内皮,血栓形成事件的风险将持续存在。

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