Retrieval of undeployed stents from the right coronary artery: report of two cases

Veldhuijzen, Frank L. M. J.; Bonnier, Hans; Michels, H. R.; Gamal, M. I. H. El; Gelder, Berry M. van

doi:10.1002/ccd.1810300315

Cited by 49 publications

(35 citation statements)

References 20 publications

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“…Kobayashi et al [3] have written about their successful retrieval of a PS stent with the gooseneck snare device from the left main coronary artery. Other authors have reported on a special two-wire technique that allows retrieval of the coronary stents without any complications [5] or fixation and removal of the undeployed stents during CABG or from the sheath in the femoral artery, respectively [6]. Further applications include balloon inflation distal to the stent [7] as well as the use of a low-profile balloon catheter together with 6 Fr biopsy forceps to catch and pull back a lost stent from the descending aorta [8].…”

Section: Discussionmentioning

confidence: 98%

Unexpanded, irretrievable stent in the proximal right coronary artery: Successful management with stent graft implantation

Lotze

Ferrari

Dannberg

et al. 1999

Cathet. Cardiovasc. Intervent.

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Stent loss and failure of retrieval are rare; nevertheless, complications have to be taken into account during percutaneous coronary intervention. Here we report a case of an unexpanded, irretrievable Palmaz‐Schatz stent in the proximal right coronary artery near to the ostium and the successful management by implanting a synthetic stent graft. Cathet. Cardiovasc. Intervent. 46:344–349, 1999. © 1999 Wiley‐Liss, Inc.

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Section: Discussionmentioning

confidence: 98%

Unexpanded, irretrievable stent in the proximal right coronary artery: Successful management with stent graft implantation

Lotze

Ferrari

Dannberg

et al. 1999

Cathet. Cardiovasc. Intervent.

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“…On the other hand, currently, interventional techniques are often used before surgery. One of these techniques is advancing another guidewire throughout stent filaments and squeezing the dislodged stent into the vessel wall before the guidewire is retrieved carefully (5). Another technique is also advancing another guidewire outer region of the stent and squeezing the dislodged stent into the vessel wall by inflating the balloon and retrieving the material similar to Fogarty's method (6).…”

Section: Discussionmentioning

confidence: 99%

Early Dislodgement of Drug-Eluting Coronary Stent from The Balloon Catheter

Doğdu¹,

Yarlıoğlueş

Tülümen³

et al. 2013

Electron J Gen Med

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“…Intracoronary embolization of balloon-mounted stents is a serious complication associated with a high risk of coronary thrombosis and subsequent myocardial infarction [4][5][6][7]. Bailout cardiac surgery may be indicated if percutaneous retrieval attempts fail [8,9].…”

Section: Discussionmentioning

confidence: 99%

Successful Coronary Stent Retrieval From a Pedal Artery

Mariano

Versaci

Gandini

et al. 2007

Cardiovasc Intervent Radiol

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The purpose of this article is to report complications from a coronary drug-eluting stent lost in the peripheral circulation. We report the case of successful retrieval of a sirolimus coronary stent from a pedal artery in a young patient who underwent coronary angiography for previous anterior myocardial infarction. Recognition of stent embolization requires adequate removal of the device to avoid unwelcome clinical sequelae.The occurrence of stent loss during percutaneous coronary interventions appears to have decreased in recent years, probably due to improvements in equipment design and to the almost universal use of premounted stents. Unfortunately, dislodgement of a stent during its deployment is still an unwelcome complication in coronary stenting procedures and has been reported to occur in 1% to 8.4% of cases [1]. This event may result in coronary, cerebral, or peripheral embolization with potentially adverse sequelae [2,3]. Improved deployment strategies, including new stent designs, are required to decrease procedural risk. We report the case of successful coronary stent retrieval in a patient in whom a drug-eluting stent was dislodged from a balloon catheter to the pedal artery after failed intracoronary delivery. Case ReportA 47-year-old man with coronary artery disease was admitted to our hospital because of dyspnoea occurring 2 months after anterior myocardial infarction. Physical examination was normal, whereas the electrocardiogram showed sinus rhythm and signs of previous anteroseptal myocardial infarction. Laboratory parameters were within normal limits.Preoperative transthoracic echocardiography showed fairly decreased left ventricular function (ejection fraction 45%) associated with apical and distal septum wall akinesia and evidence of a thrombus stratification in the apex.Coronary angiography was performed using a standard right femoral approach with the placement of a 6F short sheath. Selective left coronary angiography showed twovessel disease, with evidence of spontaneous dissection in the middle segment of the left anterior descending coronary artery (LAD) and severe narrowing superimposed to an ulcerated plaque in the proximal segment of the right coronary artery (RCA). After coronary revascularization of the RCA, direct stenting of the lesion in the middle tract of the LAD was attempted with a 3.5 · 33-mm Cypher (Cordis Europa, Roden, The Netherlands) stent. During advancement of the stent, the device became entrapped, making it impossible to retrieve the stent in the guiding catheter because of the partial enlargement of its distal struts. Therefore, the guiding catheter and the stent-loaded balloon were carefully brought into the descending aorta as one unit to avoid embolization in the cerebral circulation. Unfortunately, during this manoeuvre the stent was dislodged from

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Retrieval of undeployed stents from the right coronary artery: report of two cases

Cited by 49 publications

References 20 publications

Unexpanded, irretrievable stent in the proximal right coronary artery: Successful management with stent graft implantation

Unexpanded, irretrievable stent in the proximal right coronary artery: Successful management with stent graft implantation

Early Dislodgement of Drug-Eluting Coronary Stent from The Balloon Catheter

Successful Coronary Stent Retrieval From a Pedal Artery

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