DOI QR코드

DOI QR Code

Extraction of a Fully Deployed Coronary Stent during Retrieval of Another Dislodged Stent

  • Hwang, Jongmin (Cardiovascular Center, Pusan National University Yangsan Hospital, Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Chun, Kook-Jin (Cardiovascular Center, Pusan National University Yangsan Hospital, Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Lee, Dae Sung (Cardiovascular Center, Pusan National University Yangsan Hospital, Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Lee, Soo Yong (Cardiovascular Center, Pusan National University Yangsan Hospital, Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Chon, Min Ku (Cardiovascular Center, Pusan National University Yangsan Hospital, Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Lee, Sang Hyun (Cardiovascular Center, Pusan National University Yangsan Hospital, Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Hwang, Ki Won (Cardiovascular Center, Pusan National University Yangsan Hospital, Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Kim, June Hong (Cardiovascular Center, Pusan National University Yangsan Hospital, Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine)
  • Received : 2015.12.15
  • Accepted : 2016.05.03
  • Published : 2016.11.30

Abstract

Coronary stent dislodgement is a rare and serious complication of percutaneous coronary intervention and is associated with major adverse cardiac events. Successful retrieval of the stent is recommended in this situation because it is important for the prognosis. Recently, a patient was referred to our hospital with a dislodged coronary stent. When attempting to percutaneously extract the dislodged stent, a challenging situation was encountered, as the stent was entrapped and tightly entangled with another fully deployed coronary stent. Extraction of a fully deployed stent is generally prohibited as it may result in severe complications. Nevertheless, we extracted both the dislodged stent and the fully deployed stent, as a last resort. Herein, we report about this case. Our case highlights if the operator had a thorough understanding of the surrounding circumstances regarding the fully deployed coronary stent, successful extraction of the fully deployed coronary stent without any complications could be possible.

Keywords

References

  1. Bolte J, Neumann U, Pfafferott C, et al. Incidence, management, and outcome of stent loss during intracoronary stenting. Am J Cardiol 2001;88:565-7. https://doi.org/10.1016/S0002-9149(01)01742-8
  2. 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;66:333-40. https://doi.org/10.1002/ccd.20449
  3. Alomar ME, Michael TT, Patel VG, et al. Stent loss and retrieval during percutaneous coronary interventions: a systematic review and metaanalysis. J Invasive Cardiol 2013;25:637-41.
  4. Jang JH, Woo SI, Yang DH, Park SD, Kim DH, Shin SH. Successful coronary stent retrieval from the ascending aorta using a gooseneck snare kit. Korean J Intern Med 2013;28:481-5. https://doi.org/10.3904/kjim.2013.28.4.481
  5. Collins N, Horlick E, Dzavik V. Triple wire technique for removal of fractured angioplasty guidewire. J Invasive Cardiol 2007;19:E230-4.
  6. Kim JY, Yoon J, Jung HS, et al. Broken guidewire fragment in the radiobrachial artery during transradial sheath placement: percutaneous retrieval via femoral approach. Yonsei Med J 2005;46:166-8. https://doi.org/10.3349/ymj.2005.46.1.166
  7. Kang JH, Rha SW, Lee DI, et al. Successful retrieval of a fractured and entrapped 0.035-inch terumo wire in the femoral artery using biopsy forceps. Korean Circ J 2012;42:201-4. https://doi.org/10.4070/kcj.2012.42.3.201
  8. Kim JH, Jang WJ, Ahn KJ, et al. Successful retrieval of intravascular stent remnants with a combination of rotational atherectomy and a gooseneck snare. Korean Circ J 2012;42:492-6. https://doi.org/10.4070/kcj.2012.42.7.492

Cited by

  1. Surgical retrieval of an entrapped stent and a stuck snare device during percutaneous coronary intervention vol.23, pp.6, 2016, https://doi.org/10.1016/j.jccase.2021.03.001