Intracoronary stent dislodgment: updated strategy enabled by the new generation of materials

Stent dislodgment remains a vexing problem in percutaneous coronary intervention. The technological improvements in machine-crimped premounted stents have led to a reduced incidence of dislodgment but may have exacerbated the problem of stent dislodgment (SD). Previous reports describing the management of SD have concentrated predominantly on manually mounted stents. We present a case where the position of a dislodged premounted stent in the distal left main stem was unfavorable for previously described solutions. The problem was elegantly resolved by taking advantage of the improved performance of the current generation of wires and balloons to achieve a rapid first-rate clinical outcome.