Twenty-two years angiographic and clinical follow-up of the first patient treated with intracoronary stent placement for acute vessel closure following percutaneous transluminal coronary angioplasty.

摘要

We report here the longest follow-up of a patient treated with intracoronary stent placement for acute vessel closure following conventional balloon angioplasty. The patient is a 52-year-old lady who developed abrupt left anterior descending coronary artery (LAD) closure shortly after double vessel percutaneous coronary intervention (PCI) for symptomatic stenoses to the right coronary artery (RCA) and LAD on 13 June 1986. Whereas the result of dilatation of the RCA was acceptable, the LAD lesion occluded while the patient was awaiting transfer to the ward. The occlusion was successfully re-opened by implantation of a self-expanding mesh stent without post-dilatation (WallStent, Medinvent, Lausanne, Switzerland) (Panel A). This was the first procedure of this kind in a fully awake human being performed in the University Hospital of Lausanne, CHUV (Switzerland). The immediate angio-graphic result was acceptable with a mild residual narrowing (Panel 8).