Abstract
Unintentional Extraction of Previously Deployed Stent in Ostial Left Anterior Descending Artery during a Dislodged Left Main Stent Retrieval
Highlights
Stent dislodgment is uncommon complication of percutaneous coronary procedures (PCI), mainly due to the improvements in stent design with better diverability, flexibility, and near universal fabrication of premounted stents, as well as increased overall physician/operator knowledge and awareness in performing complex and challenging PCI [1]
When it occurs it presents a challenge to even most experienced operators, because it is often associated with significant morbidity, including systemic or coronary embolization, acute myocardial infarction (AMI), emergency coronary artery bypass graft surgery (CABG), or even death [2,3]
We present a case of stent dislodgment in left main (LM) with subsequent retrieval of loose stent and unintentional extraction of previously implanted stent causing intimal tearing of distal LM and ostial left anterior descending artery (LAD)
Summary
Stent dislodgment is uncommon complication of percutaneous coronary procedures (PCI), mainly due to the improvements in stent design with better diverability, flexibility, and near universal fabrication of premounted stents, as well as increased overall physician/operator knowledge and awareness in performing complex and challenging PCI [1]. We present a case of stent dislodgment in left main (LM) with subsequent retrieval of loose stent and unintentional extraction of previously implanted stent causing intimal tearing of distal LM and ostial LAD.
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