Coronary Stent Infection: An Unusual Complication After Percutaneous Coronary Intervention

Authors

  • Souhayla Souaf Khalafi Division of Cardiac Surgery, University Hospital Santiago de Compostela, Spain https://orcid.org/0000-0001-6832-1386
  • Gustavo Andrés Valencia Páez Division of Cardiac Surgery, University Hospital Santiago de Compostela, Spain
  • Angel Luis Fernández González Division of Cardiac Surgery, University Hospital Santiago de Compostela, Spain; Department of Surgery and Medico-Surgical Specialities, University of Santiago de Compostela, Spain https://orcid.org/0000-0003-1307-8221

DOI:

https://doi.org/10.48729/pjctvs.372

Keywords:

stents, prosthesis related infections, endovascular procedures, acute coronary syndrome, Endocarditis

Abstract

Coronary artery stent infection (CSI) is one of the rarest complications associated with the percutaneous coronary intervention (PCI), usually requiring surgical intervention. Reaching and confirming the diagnosis remains the most challenging aspect of this complication. We describe a case of drug-eluting stents (DES) infection after several repeated procedures of primary angioplasty and stent implantation in the context of myocardial infarction. In the current era of growth of coronary stent implantation, it’s important for clinicians to consider and to prevent such potentially fatal events. The diagnosis process remains difficult and requires the association of multiple clinical, biological and imaging parameters. Although medical treatment may be the only possible approach in some cases, we present a clinical case where surgical treatment was successful.

Downloads

Download data is not yet available.

References

Günther H.U.Strupp G.Volmar J.von Korn H.Bonzel T.Stegmann T.Coronary stent implantation: infection and abscess with fatal outcome.Z. Kardiol. 1993; 82: 521-525.

Singh H, Singh C, Aggarwal N, et al.: Mycotic aneurysm of left anterior descending artery after sirolimus-eluting stent implantation: a case report. Cathet Cardiovasc Interv. 2005; 65(2): 282–285.

Dieter R.S.Coronary artery stent infection. Clin. Cardiol. 2000; 23: 808-810.

Elieson M, Mixon T, Carpenter J: Coronary stent infections: a case report and literature review. Tex Heart Inst J. 2012; 39(6): 884–9.

Suryawan, I Gde Rurusa; Luke, Kevinb; Agustianto, Rafiv Fasyab; Mulia, Eka Prasetya Budia. Coronary stent infection: a systematic review. Coronary Artery Disease 33(4):p 318-326, June 2022.

Habib G., Lancellotti P., Antunes M.J., Bongiorni M.G., Casalta J.-P., Del Zotti F., Dulgheru R., El Khoury G., Erba P.A., Iung B., et al. 2015 ESC Guidelines for the management of infective endocarditis. The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM) G. Ital. Cardiol. Rome. 2016;17:3075–3128.

Pisani A.Braham W.Borghese O.Coronary stent infection: Are patients amenable to surgical treatment? A systematic review and narrative synthesis. Int. J. Cardiol. 2021 Sep 22; (S0167–5273(21)01469–8).

Downloads

Published

11-10-2023

How to Cite

1.
Souaf Khalafi S, Valencia Páez GA, Fernández González AL. Coronary Stent Infection: An Unusual Complication After Percutaneous Coronary Intervention. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Oct. 11 [cited 2024 May 5];30(3):71-5. Available from: https://pjctvs.com/index.php/journal/article/view/372

Issue

Section

Clinical Cases

Categories

Most read articles by the same author(s)