Stent entrapment and guide wire fracture during percutaneous coronary intervention in the same patient

Tamci, Batuhan; Okan, Taha; Güngör, Hasan; Öztürk, Volkan; Cam, Fatih

doi:10.5114/pwki.2013.35459

Cited by 7 publications

(13 citation statements)

References 6 publications

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“…The most simple and most commonly used is low-profile balloon inflation up to 4-6 atmospheres within an unexpanded stent or distally to the lost stent 10 . Deployment of other techniques depend on operators experience and skills as well as locally available equipment, and it may include the use of myocardial biopsy or biliary forceps, two twisted guide wires, basket devices, loop snares and other devices 11 .…”

Section: Discussionmentioning

confidence: 99%

Stent dislodgement in the distal left main coronary artery and its successful management with balloon crushing technique

Stajic

2015

VOJNOSANIT PREGL

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A 59-year old female patient with acute ST-elevation myocardial infaction of anterior wall was admitted for primary percutanous coronary intervention. Unexpectedly, during intervention stent entrapment and dislodgement in the distal left main coronary artery occured followed by occlusive coronary dissection and compromisation of the coronary flow in the left descending coronary artery with a rapid hemodinamic deterioration. In order to reestablish coronary flow as soon as possible, the dislodged unexpanded stent was crushed against the wall with a balloon in the distal left main. It immediately restored coronary flow in the left descending coronary artery and rapidly improved the patients hemodinamics. Intervention was successfuly completed with totally four stents implanted in the left main, the osteoproxymal circumflex coronary artery and the osteo-proxy-medial left descending coronary artery. Later post-interventional hospital course as well as the clinical and angiographic six month follow-up was uneventful. CONCLUSION. This case shows that percutaneous baloon crushing technique can be a safe and effective first option in management of dislodged and unexpanded stent in the left main coronary artery, particularly for a hemodynamically unstable patient.

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Section: Discussionmentioning

confidence: 99%

Stent dislodgement in the distal left main coronary artery and its successful management with balloon crushing technique

Stajic

2015

VOJNOSANIT PREGL

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“…Iatrogenic injuries have accompanied percutaneous coronary intervention (PCI) since the beginning of this modality [1]. In the context of increasing number of complex percutaneous coronary interventions (PCI), dislodgement of an unexpanded coronary stent is a complication that, although rare, still happens [2]. The incidence of lost stent or other devices has dropped from 8.3% to 0.21% due to improvements in the equipment used [[3], [4], [5]].…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of lost stent or other devices has dropped from 8.3% to 0.21% due to improvements in the equipment used [[3], [4], [5]]. However, when it happens, it is a serious complication that holds a risk of coronary or systemic thromboembolization, need for emergency coronary artery bypass surgery (CABG), or even death [2,3].…”

Section: Introductionmentioning

confidence: 99%

Coronary artery bypass as a treatment of stent dislodgement: A case report

Ibrahim

AlWaqfi

Ibdah

2019

Annals of Medicine and Surgery

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IntroductionStent dislodgement is a known complication during coronary angiography. Different methods are used to retrieve it including open heart surgery.Case presentationA 71 year-old male with stable angina was scheduled for elective coronary angiography. Angiography showed two significant stenosis: one in the proximal right coronary artery (RCA) and one in the left anterior descending artery (LAD). Upon deployment of the right coronary stent, it got lodged and the cardiologist was unable to retrieve it. The patient started to experience angina and his ECG showed ST segment elevation in the inferior leads. Emergency CABG was performed.ConclusionStent dislodgement is a rare but serious complication. Most cases are treated by interventional methods; however, CABG is still needed in some cases.

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“…2 Predisposing factors include vessel tortuosity, severe vessel calcification, and a long stent. 3 There are rare case reports in which TEE is used as a diagnostic technique for visualizing entrapped angioplasty devices and helped in decision-making for managing this complication. 4 The presented case highlights the valuable informative role of…”

mentioning

confidence: 99%

“…Previous studies reported a necessity of surgery in 75% of cases . Predisposing factors include vessel tortuosity, severe vessel calcification, and a long stent . There are rare case reports in which TEE is used as a diagnostic technique for visualizing entrapped angioplasty devices and helped in decision‐making for managing this complication .…”

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confidence: 99%

Retained entrapped coronary stent appearing like an aortic flap

Hajsadeghi¹,

Pakbaz

Marzban³

et al. 2019

Echocardiography

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Entrapment of coronary angioplasty hardware is a rare but serious complication of coronary interventions which may be managed percutaneously or surgically. We described a case of an entrapped coronary stent in a patient with a history of failed coronary intervention with no documents available. In transesophageal echocardiography, there was a linear echo density in the ascending aorta stuck in the right coronary artery resembling a dissection flap but based on the history of failed coronary intervention, this odd structure was supposed to be a retained angioplasty device. The patient underwent surgical removal of the entrapped device which was a fractured stent.

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Stent entrapment and guide wire fracture during percutaneous coronary intervention in the same patient

Abstract: In the performance of increasingly complex PCI there remains an ever-present risk of stent entrapment and guide wire or other device fracture. We report the first case with stent dislodgement and guide wire fracture to occur simultaneously in the same patient.

Cited by 7 publications

References 6 publications

Stent dislodgement in the distal left main coronary artery and its successful management with balloon crushing technique

Stent dislodgement in the distal left main coronary artery and its successful management with balloon crushing technique

Coronary artery bypass as a treatment of stent dislodgement: A case report

Retained entrapped coronary stent appearing like an aortic flap

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