Yeungnam Univ J Med.  2016 Dec;33(2):138-141. 10.12701/yujm.2016.33.2.138.

Retrieval of a dislodged and dismounted coronary stent; using a rendezvous and snare technique at the brachial artery level via femoral approach

Affiliations
  • 1Department of Internal Medicine, Busan Veterans Hospital, Busan, Korea.
  • 2Cardiovascular Center, Busan Veterans Hospital, Busan, Korea. scb77@hanmail.net

Abstract

Coronary stent dislodgement during percutaneous coronary intervention, which occurs when the stent is passed through tortuous and calcified lesions, is not a rare complication. Without proper treatment, such as fixing with another stent in the coronary artery or removing the undeployed stent from the coronary artery or systemic artery system, this complication can cause serious problems. We experienced the unusual situation of a dismounted and dislodged coronary stent, in which retrograde retrieval to the radial artery was impossible during transradial coronary intervention. We report on use of a rendezvous and snare technique at the brachial artery level via femoral puncture, which resulted in resolution without surgery.

Keyword

Coronary; Stent; Endovascular procedures

MeSH Terms

Arteries
Brachial Artery*
Coronary Vessels
Endovascular Procedures
Percutaneous Coronary Intervention
Punctures
Radial Artery
SNARE Proteins*
Stents*
SNARE Proteins
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