Coronary stent fracture in an octogenarian patient: from bad to worse

Stent fracture represents a rare cause of stent failure especially in the era of new generation coronary drug-eluting stents (DES). It is described as the interruption of stent continuity resulting in increased risk of in-stent restenosis and stent thrombosis and predisposes to repeat revascularization.[ 1] Although a growing number of octogenarians benefit today from an invasive treatment of coronary artery disease (CAD), this benefit could be lost in frail patients with multiple comorbidities.[2] Octogenarians constitute a high-risk population in whom frailty and multiple comorbidities mandate for careful treatment planning.