Eduardo A Tovar, MD, Alan Borsari, MD The Annals of Thoracic Surgery

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Effects of Surgical Manipulation on Coronary Stents: Should Surgical Strategy Be Altered? Eduardo A Tovar, MD, Alan Borsari, MD The Annals of Thoracic Surgery Volume 63, Issue 1, Pages 37-40 (January 1997) DOI: 10.1016/S0003-4975(96)00632-7

Fig. 1 Stent (arrow) deployed in the mid-left anterior descending coronary artery, as shown by angiography. The Annals of Thoracic Surgery 1997 63, 37-40DOI: (10.1016/S0003-4975(96)00632-7)

Fig. 2 Angioscopic view of same stent as that shown in Fig. 1. Notice adequate stent-to-vessel apposition. The Annals of Thoracic Surgery 1997 63, 37-40DOI: (10.1016/S0003-4975(96)00632-7)

Fig. 3 Angioscopic image of the same intracoronary stent as that shown in Fig. 1 after surgical manipulation. Notice the deformity of the stent and lack of stent-to-vessel apposition. The Annals of Thoracic Surgery 1997 63, 37-40DOI: (10.1016/S0003-4975(96)00632-7)

Fig. 4 Angioscopic image of the same intracoronary stent as that shown in Fig. 1 after direct pressure. Notice complete obliteration of the stent, which has become an intraluminal artifact. The Annals of Thoracic Surgery 1997 63, 37-40DOI: (10.1016/S0003-4975(96)00632-7)

Fig. 5 Two radiologic images of the same intracoronary stent as that shown in Fig. 1, after surgical manipulation and direct pressure. These studies fail to reveal the existing significant deformity. The Annals of Thoracic Surgery 1997 63, 37-40DOI: (10.1016/S0003-4975(96)00632-7)

Fig. 6 Angiographic image of the same intracoronary stent (arrow) as that shown in Fig. 1, after surgical manipulation and direct pressure. This study fails to reveal the existing significant deformity. The Annals of Thoracic Surgery 1997 63, 37-40DOI: (10.1016/S0003-4975(96)00632-7)

Fig. 7 The explanted stent (the same as that shown in Fig. 1) in the lateral (A) and anteroposterior (B) views, showing complete obliteration after surgical manipulation and direct pressure. The Annals of Thoracic Surgery 1997 63, 37-40DOI: (10.1016/S0003-4975(96)00632-7)