Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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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
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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.

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References

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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