We report on treatment of a patient in whom failure to deploy the dist
al portion of a Palmaz-Schatz stent occurred but was not recognized, A
fter an unstable course, the patient underwent repeat coronary angiogr
aphy, at which time the stent was rewired and redilated. Full deployme
nt of the stent with restoration of TIMI grade 3 flow was achieved. Th
e putative cause of the problem, incomplete deployment of the stent be
cause of inadvertent advancement of the stent delivery sheath, should
be avoided, and needs to be recognized if it occurs. Crossing and redi
lating the stent is possible, although technically difficult. (C) 1998
Wiley Liss, Inc.