Stent Dislodgement in the Treatment of Left Main Coronary Artery Dissection

Unexpected retraction of an implanted coronary stent

“…This kind of complication can be very serious, resulting in arterial dissection, intracoronary or extracoronary embolism, and even sudden death (2,6,8). Therefore, we suggest that particular attention should be paid to the removal of second guidewire after stent delivery to the tortuous and calcific lesions and just before deployment of the stent.…”

“…These complications can lead to myocardial infarction, emergency operation, peripheral and cerebral embolism, and even death (2)(3)(4)(5)(6)(7)(8). Retrieving the unplaced stent by pulling away the balloon through a device, like a snare catheter, is a rare case in the literature, but the retraction of a placed intracoronary stent through a jailed guidewire has not, to our knowledge, been presented in the literature yet (5).…”

“…The utilization of coronary stent has broken new ground in percutaneous coronary intervention (PCI); however, it has also brought new complications to cardiology, like frequent stent restenosis and stent thrombosis and, rarely, stent fracture and stent dislodgement (1)(2)(3)(4)(5). These complications can lead to myocardial infarction, emergency operation, peripheral and cerebral embolism, and even death (2)(3)(4)(5)(6)(7)(8).…”

“…Atrial fibrillation (AF) is the most common chronic cardiac arrhythmia (1,2). Major mortality and morbidity are associated with stroke and systemic embolism in patients with AF (3).…”

Coronary Trunk Dissection with Stent Displacement: Points to Remember!

“…We would like to congratulate Marchiori et al 1 for the successful conduction of a rare and serious complication which happened during hemodynamic procedure. Nevertheless, we consider that some considerations about this case should be made.…”