BAIL-OUT OF STENT JAIL - STENT DELIVERY THROUGH STENT STRUTS

Stent deployment in a lesion with a large side branch is an example of the potential limitation of intracoronary stents, especially the Palm az-Schatz(TM) stent with its tubular slotted design. This case study d escribes a patient in whom a Palmaz-Schatz stent of excessive length c overed the origin of a side branch (''stent jail''). Thrombus develope d in the jailed branch as well as in the main vessel, causing abrupt v essel closure and impending acute myocardial infarction within one hou r after the procedure. This complication was successfully managed by e mergency repeat angioplasty and implantation of a Micro Stent(TM) on b oth branches, i.e. in the main vessel distal to the Palmaz-Schatz sten t and in the side branch through the struts of the Palmaz-Schatz stent .