Eid N, Abdel Wahab M, Thanu AS. Bioresorbable stent unloading during percutaneous coronary intervention: Early detection and management. World J Cardiol 2024; 16(10): 616-618 [PMID: 39492969 DOI: 10.4330/wjc.v16.i10.616]
Corresponding Author of This Article
Nabil Eid, MD, PhD, Assistant Lecturer, Assistant Professor, Associate Professor, Senior Lecturer, Doctor, Research Scientist, Department of Anatomy, Division of Human Biology, School of Medicine, IMU University, Bukit Jalil, Kuala Lumpur 57000, Kuala Lumpur, Malaysia. nabilsaleheid@imu.edu.my
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Nabil Eid, Department of Anatomy, Division of Human Biology, School of Medicine, IMU University, Kuala Lumpur 57000, Kuala Lumpur, Malaysia
Mohamed Abdel Wahab, Department of Pediatrics, School of Medicine, IMU University, Clinical Campus, Batu Paha 83000, Johor, Malaysia
Amardev Singh Thanu, M. Kandiah Faculty of Medicine and Health Sciences, University Tunku Abdul Rahman, Kajang 43000, Selangor, Malaysia
Author contributions: Eid N wrote and approved the final draft of the manuscript, Abdel Wahab M revised and edited the manuscript, Thanu AS revised and edited the manuscript. All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nabil Eid, MD, PhD, Assistant Lecturer, Assistant Professor, Associate Professor, Senior Lecturer, Doctor, Research Scientist, Department of Anatomy, Division of Human Biology, School of Medicine, IMU University, Bukit Jalil, Kuala Lumpur 57000, Kuala Lumpur, Malaysia. nabilsaleheid@imu.edu.my
Received: August 21, 2024 Revised: September 24, 2024 Accepted: September 30, 2024 Published online: October 26, 2024 Processing time: 57 Days and 3 Hours
Abstract
In this letter, we comment on a recent case report by Sun et al in the World Journal of Cardiology. The report describes the successful management of a rare complication: The unloading or detachment of a bioresorbable stent (BRS) during percutaneous coronary intervention (PCI) in a male patient. The unloading of BRS was detected via angiography and intravascular ultrasound (IVUS) imaging of the left coronary artery and left anterior descending artery. Although this case is interesting, the authors’ report lacked crucial details. Specifically, insufficient information about the type of BRS used, potential causes of BRS unloading, or whether optical coherence tomography (OCT) imaging for coronary arteries was performed before, during, or after PCI. The OCT imaging of coronary arteries before PCI can potentially prevent BRS unloading due to its higher resolution compared to IVUS. In addition, despite detecting myocardial bridging during the PCI, the authors did not provide any details regarding this variation. Here we discuss the various types of BRS, the importance of OCT in PCI, and the clinical relevance of myocardial bridging.
Core Tip: In a recently published case report in the World Journal of Cardiology, Sun et al reported successful management of an early and rare complication of percutaneous coronary intervention (PCI) in a male patient. This complication was the unloading or detachment of bioresorbable stent (BRS) during PCI, which was detected during PCI based on angiography and intravascular ultrasound imaging of the left coronary artery and left anterior descending artery. However, despite the rarity of this case, information regarding the type of BRS, possible causes of BRS unloading, use of optical coherence tomography (OCT) imaging for coronary arteries, and the importance of myocardial bridge during PCI were not discussed in the article. Here we shed light on the several types of BRS, the importance of OCT, and the clinical relevance of myocardial bridging.
