Coronary in-stent obstruction treated with another stent implantation
Source: The Sangai Express
Imphal, January 05 2019:
A rare but life-threatening condition called Thrombosis inside a previously implanted coronary artery stent was successfully treated at SKY Hospital, Imphal.
Roop Chand (55), a patient from Langjing, Imphal West was treated with a coronary artery stent in 2008 outside the State.
He remained well until a few days back when he developed severe chest pain and was brought as an emergency to SKY Hospital on January 3, 2019 at with hyperacute myocardial infarction (heart attack) .
The patient was immediately taken to Cath Lab via ICU.
Coronary angiogram revealed thrombosis inside the previously implanted stent to his left anterior descending artery (LAD) causing 100 percent obstruction of blood flow through the old stent causing the heart attack.
The block was crossed with a hair-breath thin metal wire called 'Teflon and Whisper" guide wire.
The block was dilated with coronary balloons.
Later, a bigger German-made stent was inserted inside the previous stent and was expanded at a higher pressure (atmospheric pressure of 14 atm) .
The final result showed free flow of blood through the newly implanted stent.
The patient started to eat and drink at 7 in the evening of the same day and mobilised the next day.
He will be discharged in the next 2 to 3 days.
Dr Lairikyengbam Shyamkishore, Chief Cardiologist & Chairman of SKY Hospital expressed his satisfaction and happiness on saving the life of this patient who traditionally required heart surgery called CABG (Coronary Artery Bypass Graft) after stent failure/obstruction.
He appealed to the people of Manipur to be aware of the symptom of such conditions and asked for help at specialist hospitals for appropriate treatment and at the right time.