Overcoming Stent Dislodgment in Coronary Intervention: A Case Retrieval and Revascularization
DOI:
https://doi.org/10.33096/9b96k263Keywords:
percutaneous coronary intervention, calcified coronary lesion, coronary atherectomy, stent dislodgement retrieval, guidewire techniquesAbstract
Introduction: Stent dislodgement is rare but represents one of the serious complications during complex PCI, potentially leading to severe consequences such as myocardial infarction, stroke, or death.
Case summary: A 69-year-old male patient with triple-vessel coronary artery disease and heart failure with reduced ejection fraction (30%) underwent percutaneous coronary intervention. During deployment of a stent in the proximal left circumflex artery, the device became dislodged and embolized to the common iliac artery bifurcation. The migrated stent was subsequently retrieved successfully using the twirling wire technique.
Discussion: The twisted guidewire technique is one of the simple methods for retrieving a dislodged stent. Although, it carries the risk of intimal injury or distal migration of the fragment, this technique potentially leads to serious complications. In this case, the procedure was successful and the patient remained stable.
Conclusion: The operators must be proficient in recognizing and managing both common and rare complications that may occur during PCI. The interventional team should be well prepared and maintain effective teamwork to ensure prompt and appropriate responses to any unexpected events during PCI.
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