Covered stent fenestration can serve as an effective bail-out technique for accidental left circumflex coronary artery jailing due to stent migration.
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May offer bail-out in covered stent complications; leaves open need for validation before clinical adoption.
An aneurysmal proximal left anterior descending coronary artery lesion with large thrombus burden was treated with a covered stent to prevent distal embolization. The stent migrated proximally into the left main coronary artery and occluded the left circumflex coronary artery which was successfully managed with fenestration of the covered stent.
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Mao et al. (2025) studied this question.
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