Two dislodged and crushed coronary stents: treatment of two simultaneously dislodged stents using crushing techniques.
10.3904/kjim.2013.28.6.718
- Author:
Dong Hyeok YANG
1
;
Seong Ill WOO
;
Dae Hyeok KIM
;
Sang Don PARK
;
Ji Hun JANG
;
Jun KWAN
;
Sung Hee SHIN
Author Information
1. Department of Cardiology, Inha University Hospital, Incheon, Korea. siwoo@inha.ac.kr
- Publication Type:Case Reports
- Keywords:
Stent dislodgement;
Percutaneous coronary intervention;
Stent deployment
- MeSH:
Angioplasty, Balloon, Coronary/adverse effects/*instrumentation;
Cardiac Catheterization/adverse effects/*instrumentation;
Coronary Angiography;
Coronary Stenosis/diagnosis/*therapy;
Female;
Humans;
Middle Aged;
Prosthesis Failure;
Shock, Cardiogenic/etiology/therapy;
*Stents;
Treatment Outcome
- From:The Korean Journal of Internal Medicine
2013;28(6):718-723
- CountryRepublic of Korea
- Language:English
-
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.
