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Successful coronary stent retrieval from the ascending aorta using a gooseneck snare kit

  • Published : 2013.07.01

Abstract

Coronary stent dislodgement is a rare complication of percutaneous coronary intervention. We report a case of stent dislodgement in the ascending thoracic aorta. The stent was mechanically distorted in the left circumflex artery (LCX) while being delivered to the proximal LCX lesion. The balloon catheter was withdrawn, but the stent with the guide wire was remained in the ascending thoracic aorta. The stent was unable to be retrieved into the guide catheter, as it was distorted. A goose neck snare was used successfully to catch the stent in the ascending thoracic aorta and retrieved the stent externally via the arterial sheath.

Keywords

References

  1. Brilakis ES, Best PJ, Elesber AA, et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Catheter Cardiovasc Interv 2005;66:333-340. https://doi.org/10.1002/ccd.20449
  2. Eggebrecht H, Haude M, von Birgelen C, et al. Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv 2000;51:432-440. https://doi.org/10.1002/1522-726X(200012)51:4<432::AID-CCD12>3.0.CO;2-1
  3. Nikolsky E, Gruberg L, Pechersky S, et al. Stent deployment failure: reasons, implications, and short-and long-term outcomes. Catheter Cardiovasc Interv 2003;59:324-328. https://doi.org/10.1002/ccd.10543
  4. 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;52:443-448. https://doi.org/10.1002/ccd.1099
  5. Juszkat R, Dziarmaga M, Zabicki B, Bychowiec B. Successful coronary stent retrieval from the renal artery. Cardiol J 2007;14:87-90.
  6. Yang Soon C, Chong E, Sangiorgi GM. A challenging case of dislodged stent retrieval with the use of Goose neck snare kit. Catheter Cardiovasc Interv 2010;75:630-633.
  7. Kim MH, Cha KS, Kim JS. Retrieval of dislodged and disfigured transradially delivered coronary stent: report on a case using forcep and antegrade brachial sheath insertion. Catheter Cardiovasc Interv 2001;52:489-491. https://doi.org/10.1002/ccd.1109
  8. Taylor JD, Lehmann ED, Belli AM, et al. Strategies for the management of SVC stent migration into the right atrium. Cardiovasc Intervent Radiol 2007;30:1003-1009. https://doi.org/10.1007/s00270-007-9109-3
  9. Koseoglu K, Parildar M, Oran I, Memis A. Retrieval of intravascular foreign bodies with goose neck snare. Eur J Radiol 2004;49:281-285. https://doi.org/10.1016/S0720-048X(03)00078-0

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