Coronary Stent Off-Wire Dislodgement: Case Report of a Rare Complication

Abstract

Although several techniques have been reported for managing an on-wire dislodged stent in the coronary artery, very few reports have focused on the much rarer complication of an off-wire dislodged stent. In a 73-year-old man who experienced an off-wire dislodged coronary stent, the proximal elongated segment was lodged in the left main coronary artery, and the distal segment was floating in the aorta like a wind sock. After a failed attempt at retrieval using a gooseneck microsnare, the dislodged stent was successfully removed using a 3-loop vascular snare via the left radial artery. There was no obvious vascular injury. This novel technique for removing a partially floating dislodged stent was successful after conventional retrieval techniques failed.

Coronary Stent Abscess in the Setting of Arteriovenous Graft Infection following COVID-19: An Autopsy Case Report

“…Of the coronary artery infections reported in the literature, most occurred within 4 weeks of stent placement and present with chest pain, fever, elevated troponins, and ECG changes [ 1 , 3 , 4 ]. Risk factors for infection have been noted to include older age, difficult vascular access, extended duration of the procedure, and repeated catheterizations using the same vascular access site [ 3 , 5 ].…”