Forensic pathology examination of death during intracoronary stenting:a report of four cases
Objective To summarize the experience of forensic pathology examination of patients died during coronary stent(CS)implantation.Methods The records of 4 autopsies were reviewed to make a report.Results The CS implantation was performed emergently to treat acute myocardial infarction in 1 case.The other three CS implantations were scheduled.The coronary artery dissection was recorded in both clinical records and autopsy reports of 2 patients.The coronary artery rupture was recorded in the clinical and autopsy records of 1 patient.Acute CS thrombosis was also found in this patient during autopsy.In 3 patients,the degrees of vascular stenosis at the 5 sites of CS implantation in the autopsy reports were less than those in the ante-mortem angiography records.For the vascular stenosis observed in coronary artery without CS implantation,the degrees of vascular stenosis reported in the ante-mortem angiography record were greater than those in the post-mortem gross examination records.Conclusion Post-mortem pathological examination can effectively detect coronary artery injury and CS thrombosis.It is necessary to solve the problem of observing the structure and appearance of expanded CS intactly.
Forensic pathologyCoronary stent implantationIntraoperative deathGross pathological examination of coronary
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