Soonchunhyang Med Sci.  2013 Jun;19(1):26-28.

Dislodgement of Two Stents in One Patient during Percutaneous Coronary Intervention

Affiliations
  • 1Department of Internal Medicine, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Gumi, Korea. jichoona@gmail.com

Abstract

Coronary stent loss is a rare but serious complication during interventional cardiology. This complication occurs not only in the intracoronary area but also in the extracoronary area, such as the aortic root or the left ventricle. An 83-year-old man with stable angina had a stent inserted into a heavy calcific left anterior descending artery. The stent was lost twice during the procedure. The first stent was dislodged from the left main coronary artery to the proximal left anterior descending artery, and the second stent migrated to the aortic root following separation from the balloon. We successfully redeployed the first stent at the dislodged site and retrieved the second stent using a goose-neck snare after moving the stent to the descending aorta. These steps circumvented the need for the patient to undergo emergency cardiovascular surgery.

Keyword

Stents; Complications; Percutaneous coronary intervention

MeSH Terms

Angina, Stable
Aorta, Thoracic
Arteries
Cardiology
Coronary Vessels
Emergencies
Heart Ventricles
Humans
Percutaneous Coronary Intervention
SNARE Proteins
Stents
SNARE Proteins
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