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Successful surgical endarterectomy of a stented coronary artery
V M Walley1, J F Marquis, W J Keon
1Department of Laboratory Medicine, University of Ottawa Heart Institute at the Ottawa Civic Hospital, Ontario, Canada. plmvmw@qe2-hsc.ns.ca
Insights
Surgical removal of failed Palmaz-Schatz stents from a blocked coronary artery was technically feasible. This endarterectomy procedure offers a potential solution for managing stent complications in accessible arteries.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Coronary artery disease management often involves stent placement.
- Stent failure can necessitate further interventions.
Observation:
- A 61-year-old male experienced right coronary artery occlusion after initial stenting.
- Bypass grafting was performed two years post-stenting due to recurrent occlusion.
Findings:
- An extensive surgical endarterectomy successfully removed three "half" Palmaz-Schatz stents.
- This demonstrated the technical feasibility of surgical stent retrieval.
Implications:
- Surgical endarterectomy is a viable option for removing failed coronary stents.
- This technique may be applicable to accessible coronary arteries requiring intervention.
Abstract:
An occlusion in this 61-year-old male's distal right coronary artery was initially successfully opened with balloon angioplasty and three "half" Palmaz-Schatz stents (Johnson and Johnson International Systems, Warren, NJ). Subsequent occlusion of the RCA occurred and prompted bypass grafting 2 years later. An extensive manual surgical endarterectomy removed the stents, demonstrating the technical feasibility of surgically removing failed stents in accessible coronary arteries.