Patient id: (b)(6).
It was reported that on (b)(6) 2020, the patient presented with a recent non-st elevated myocardial infarction (nstemi), elevated cardiac enzymes, and a proximal circumflex (cx), 95% stenosed lesion.
A percutaneous coronary intervention was performed.
Pre-dilatation was performed on the cx lesion and a 3.
5x23mm xience sierra stent (1550350-23, 9120941) stent was implanted with acceptable results.
Post-implantation, a proximal edge dissection was observed.
As treatment, a 2.
5x38mm xience sierra stent (1550250-38, 90100341) and a 4.
0x8mm xience sierra stent (1550400-08, 0051241) were implanted.
Post-procedure imaging was performed with intra-stent plaque protrusion or thrombus, and dissection, unknown if this was the same previous dissection, were observed.
The stent was not specified in this case.
On (b)(6) 2020, the patient was admitted to the hospital with chest pain.
Elevated cardiac enzymes were observed and a new myocardial infarction (mi) was diagnosed.
As treatment, another pci was performed within the 50% occluded, proximal cx.
The event resolved without sequela.
Reportedly, there was no device malfunction.
No additional information was provided regarding this issue.
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