Novel use of a stent graft for uncontrollable intraprocedural stent thrombosis in a patient with acute myocardial infarction

Catheter Cardiovasc Interv. 2020 Mar 1;95(4):713-717. doi: 10.1002/ccd.28346. Epub 2019 May 29.


We report the case of a patient who developed uncontrollable intraprocedural stent thrombosis (IPST) during an emergent percutaneous coronary intervention for acute myocardial infarction that was mitigated only by covering the culprit lesion with a stent graft. Although several factors can induce stent thrombosis, IPST was likely a result of intrastent plaque protrusion in this patient. This is the first case report on the use of stent graft implantation as an effective bailout procedure for uncontrolled IPST. The findings described in this case study warrant the adoption of stent grafts for the complete sealing of plaque protrusion in lesions.

Keywords: acute myocardial infarction; plaque protrusion; stent graft; stent thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Coronary Occlusion / diagnostic imaging
  • Coronary Occlusion / physiopathology
  • Coronary Occlusion / therapy*
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / etiology
  • Coronary Stenosis / physiopathology
  • Coronary Stenosis / therapy*
  • Coronary Thrombosis / diagnosis
  • Coronary Thrombosis / etiology
  • Coronary Thrombosis / physiopathology
  • Coronary Thrombosis / surgery*
  • Humans
  • Inferior Wall Myocardial Infarction / diagnostic imaging
  • Inferior Wall Myocardial Infarction / physiopathology
  • Inferior Wall Myocardial Infarction / therapy*
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / instrumentation*
  • Prosthesis Design
  • Stents*
  • Treatment Outcome