Two dislodged and crushed coronary stents: treatment of two simultaneously dislodged stents using crushing techniques
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Coronary stent dislodgement is a rare complication of percutaneous coronary intervention. We report a rare case of dislodgement of two intracoronary stents. On withdrawal of two balloon catheters, one with a guide wire was mechanically distorted from the left main (LM) to the proximal left anterior descending artery (LAD) while the other was dislodged from the LM to the ostial left circumflex artery. The stent in the LAD could not be retrieved into the guide catheter using a Goose neck snare, because it was caught on a previously deployed stent at the mid LAD. A new stent was quickly deployed from the LM to the proximal LAD, because the patient developed cardiogenic shock. Both stents, including a distorted and elongated stent, were crushed to the LM wall. Stent deployment and crushing may be a good alternative technique to retrieving a dislodged stent.
Abstract
Coronary stent dislodgement is a rare complication of percutaneous coronary intervention. We report a rare case of dislodgement of two intracoronary stents. On withdrawal of two balloon catheters, one with a guide wire was mechanically distorted from the left main (LM) to the proximal left anterior descending artery (LAD) while the other was dislodged from the LM to the ostial left circumflex artery. The stent in the LAD could not be retrieved into the guide catheter using a Goose neck snare, because it was caught on a previously deployed stent at the mid LAD. A new stent was quickly deployed from the LM to the proximal LAD, because the patient developed cardiogenic shock. Both stents, including a distorted and elongated stent, were crushed to the LM wall. Stent deployment and crushing may be a good alternative technique to retrieving a dislodged stent.
참고문헌 (10)
- Escalona A, "Gastrojejunal anastomotic stricture after Roux-en-Y gastric bypass: ambulatory management with the Savary-Gilliard dilator", Surg Endosc, 21, pp.765~768 (2007)
- Eggebrecht H, "Nonsurgical retrieval of embolized coronary stents", Catheter Cardiovasc Interv, 51, pp.432~440 (2000)
- Nikolsky E, "Stent deployment failure: reasons, implications, and shortand long-term outcomes", Catheter Cardiovasc Interv, 59, pp.324~328 (2003)
- Laarman G, "Direct coronary stent implantation: safety, feasibility, and predictors of success of the strategy of direct coronary stent implantation", Catheter Cardiovasc Interv, 52, pp.443~448 (2001)
- Hussain F, "Migration of an embolized deployed stent from the left main with subsequent crushing: a new use for the IVUS catheter?", J Invasive Cardiol, 22, pp.19~22 (2010)
- Yang Soon C, "A challenging case of dislodged stent retrieval with the use of Goose neck snare kit", Catheter Cardiovasc Interv, 75, pp.630~633 (2010)
- Kim MH, "Retrieval of dislodged and disfigured transradially delivered coronary stent: report on a case using forcep and antegrade brachial sheath insertion", Catheter Cardiovasc Interv, 52, pp.489~491 (2001)
- Taylor JD, "Strategies for the management of SVC stent migration into the right atrium", Cardiovasc Intervent Radiol, 30, pp.1003~1009 (2007)
- Koseoglu K, "Retrieval of intravascular foreign bodies with goose neck snare", Eur J Radiol, 49, pp.281~285 (2004)
- Gabelmann A, "Percutaneous retrieval of lost or misplaced intravascular objects", AJR Am J Roentgenol, 176, pp.1509~1513 (2001)