Evidence map›Paper›PMID 40846370›Full record

ArticleJACC. Case reports2025

Stent Fracture and Perforation During Percutaneous Coronary Intervention for In-Stent Restenosis.

Safi U Khan, Hassaan B Arshad, Neal S Kleiman, Alpesh R Shah

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Safi U KhanSection of Interventional Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas, USA. Electronic address: safinmc@gmail.com.
Hassaan B ArshadSection of Interventional Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas, USA.
Neal S KleimanSection of Interventional Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas, USA.
Alpesh R ShahSection of Interventional Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStent fracture is a rare but potentially life-threatening complication of percutaneous coronary intervention (PCI). We present a case of type IV stent fracture during PCI of recurrent in-stent restenosis (ISR) of the right coronary artery. CASE SUMMARY: A 64-year-old man with prior coronary artery bypass grafting and recurrent ISR in the right coronary artery underwent PCI involving cutting balloon angioplasty and brachytherapy. Aggressive balloon dilation to achieve optimal results led to a type IV stent fracture with Ellis type III perforation. Prolonged balloon tamponade failed, and a covered stent was successfully deployed to seal the perforation. DISCUSSION: This case highlights the risk of mechanical complications during the management of ISR and the importance of immediate intervention using covered stents in coronary perforations. We discussed case-relevant risk factors and management options for stent fracture and coronary perforation. TAKE-HOME MESSAGES: Operators must remain vigilant for rare complications like stent fractures and perforation in PCI of ISR.

Indexed as

coronary perforationin-stent restenosisstent fracture

Identifiers

PMID40846370
PMCPMC12371369

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.