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Three Cases of Non-Surgical Treatment of Stent Loss During Percutaneous Coronary Intervention

  • Shim, Byung-Ju (Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Jong-Min (Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Seung-Jae (Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kim, Sung-Sik (Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Dong-Hyeon (Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Shin, Woo-Seung (Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Yu, Ji-Han (Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Gil, Sang-Hyun (Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea)
  • Received : 2010.01.04
  • Accepted : 2010.03.05
  • Published : 2010.10.30

Abstract

Percutaneous coronary intervention with stenting is widely used for ischemic heart disease. Because stent loss, which occurs rarely during the procedure, might have dire consequences, such as bleeding, stent embolism, acute myocardial infarction, emergency coronary artery bypass graft, and death, appropriate treatment is needed as soon as stent loss occurs. We report three cases of stent loss which were successfully treated with three different non-surgical methods.

Keywords

References

  1. Al Suwaidi J, Berger PB, Holmes DR Jr. Coronary artery stents. JAMA 2000;284:1828-36. https://doi.org/10.1001/jama.284.14.1828
  2. Park JG, Kim MH, Bae YJ, et al. Removal of dislodged stent by using 8Fr sheath and forceps during transradial coronary stenting. Korean Circ J 2000;30:1312-5. https://doi.org/10.4070/kcj.2000.30.10.1312
  3. Yang SS, Moon GH, Kim DH, et al. A case of a detached and entrapped stent balloon catheter debris after coronary stenting. Korean Circ J 2001;31:584-7. https://doi.org/10.4070/kcj.2001.31.6.584
  4. Eggebrecht H, Haude M, von Birgelen C, et al. Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv 2000;51:432-40. https://doi.org/10.1002/1522-726X(200012)51:4<432::AID-CCD12>3.0.CO;2-1
  5. Brilakis ES, Best PJ, Elesber AA, et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention. Catheter Cardiovasc Interv 2005;66:333-40. https://doi.org/10.1002/ccd.20449
  6. Lohavanichbutr K, Webb JG, Carere RG, et al. Mechanisms, management, and outcome of failure of delivery of coronary stents. Am J Cardiol 1999;83:779-81. https://doi.org/10.1016/S0002-9149(98)00990-4
  7. Laarman G, Muthusamy TS, Swart H, et al. Direct coronary stent implantation: safety, feasibility, and predictors of success of the strategy of direct coronary stent implantation. Catheter Cardiovasc Interv 2001;52:443-8. https://doi.org/10.1002/ccd.1099
  8. Holmes DR Jr, Garratt KN, Popma J. Stent complications. J Invasive Cardiol 1998;10:385-95.
  9. Hoang V, Urban V, Chatelain P, et al. Randomized evaluation of 6 French Voda-type guiding catheters for left coronary artery angioplasty. Cathet Cardiovasc Diagn 1995;35:53-6. https://doi.org/10.1002/ccd.1810350110
  10. Lee HY, Kim BH, Yoo WS, et al. Successful removal of a dislodged stent using a gooseneck snare. Korean J Med 2008;75(Suppl):S843-7.
  11. Feldman T. Tricks for overcoming difficult stent delivery. Catheter Cardiovasc Interv 1999;48:285-6. https://doi.org/10.1002/(SICI)1522-726X(199911)48:3<285::AID-CCD10>3.0.CO;2-3

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