Case Report: Dedicated Distal Left Main Coronary Stent Implantation ─Simplicity and Achievable Outcome

Abstract

An 81-year-old Vietnamese man presented with worsening angina, with previous coronary angiography and intravascular ultrasonography findings with ostial left anterior descending artery (LAD) narrowing. He flew to our center for a second opinion. We offered intracoronary optical coherence tomography (OCT) evaluation for the measurement of critical ostial LAD, minimal lumen area (MLA). Provisional stent implantation to left main (LM) bifurcation (MEDINA 0,1,0) with dedicated self-apposing stent was performed with good angiographic result and mid-term follow up without major adverse event.

Slippage of an Undeployed Stent in the Left Main Artery

“…[ 2 ] Multiple techniques were applied to retrieve the dislodged stents, such as loop snares, balloon catheters, or crushing of dislodged stents. [ 3 ] Here, we report a complicated case of stent dislodgment in the distal LM. Written consent was obtained from the patient.…”