Journal of Lipid and Atherosclerosis  2016;5(1):87-92

doi:10.12997/jla.2016.5.1.87

Re-mobilization of Lost Coronary Stent From the Axillary Artery to the Femoral Artery.

Jeong Seok LEE 1 ; Hack Lyoung KIM ; Jae Bin SEO ; Woo Hyun LIM ; Eun Gyu KANG ; Woo Young CHUNG ; Sang Hyun KIM ; Zoo Hee JO ; Myung A KIM

Affiliations

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Keywords

Complications; Drug-Eluting Stents; Embolism; Percutaneous coronary intervention

Country

Republic of Korea

Language

English

Abstract

Stent migration and loss are rare but can be devastating complications during percutaneous coronary intervention (PCI) for coronary artery disease. We report a unique case of wandering stent from the right coronary artery to the femoral artery via the axillary artery. Initially, the stent was stripped from the delivery catheter and embolized to axillary artery during emergent PCI. An intra-aortic balloon pump might have forced retrograde movement of the stent to axillary artery which have subsequently remobilized to the femoral artery. After stabilization, the stent was successfully removed by a percutaneous approach using a snare. Immediate retrieval of wandering stent is recommended for the prevention of secondary embolization.