Abstract
Abstract A rapamycin-eluting stent was dislodged during attempt of implantation at the proximal right coronary artery, which was found by fluoroscopy to have migrated into the anterior trunk of the left renal artery. We chose a 5 mm diameter Amplatz gooseneck snare and successfully retrieved the lost stent from the lodging vessel.
Highlights
A rapamycin-eluting stent was dislodged during attempt of implantation at the proximal right coronary artery, which was found by fluoroscopy to have migrated into the anterior trunk of the left renal artery
Stent loss during percutaneous coronary intervention (PCI) is an infrequentl coronary event[1,2,3,4,5,6], and yet it is associated with an increased risk of complications[1,2]
We report the revival of a dislodged rapamycin-eluting stent during attempt of implantation at the proximal right coronary artery (RCA) after removal off the guide-wire
Summary
An eighty-year-old man was referred to our hospital due to exertional chest pain, which had been present over the previous two w. A 7F sheath was inserted into the right femoral artery and a 6F AL1 guide catheter was advanced to engage the ostium of the RCA, Miracle 4.5 wire was again successfully pushed across the occlusive lesion and positioned at the distal portion of the right atrioventricular branch. The target lesion was dilated with the 1.5 mm×15 mm Maverick and another 2.5 mm×20 mm Avita balloon, after which a diffused lesion was disclosed in the proximal, median and distal RCA (Fig. 1B). Two rapamycin-eluting stents (2.75 mm×29 mm, 2.75 mm×24 mm Partner) were successfully deployed at the distal and median RCA (Fig. 1C and 1D). Thereafter, angiography of the left renal artery was performed, which showed that the suspected image was parallel to the edge of the lodging branch (Fig. 2A). The patient did not experience any discomfort during the procedure, and was discharged three d later without any complication
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