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Transcatheter retrieval and repositioning of embolized stent from the right ventricle in an infant
Daisuke Kobayashi1, Harinder R Singh, Daniel R Turner
1Carman and Ann Adams Department of Pediatrics, Division of Pediatric Cardiology, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan 48201, USA. dkobayas@dmc.org
Insights
Intracardiac stent embolization in infants is difficult. Transcatheter retrieval and repositioning of an embolized Palmaz stent from the right ventricle in a 3-month-old boy proved a safe and effective alternative to surgery.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Interventional Cardiology
Background:
- Intracardiac stent embolization presents significant challenges, particularly in infants.
- A Palmaz stent was implanted in a 3-month-old boy to address right-side heart failure due to atrial septal defect.
Observation:
- Post-implantation radiography revealed unexpected stent embolization into the right ventricle.
- This complication required prompt and effective intervention to prevent adverse outcomes.
Findings:
- Successful transcatheter retrieval and repositioning of the embolized Palmaz stent were achieved.
- The procedure was performed without any immediate or delayed complications in the infant.
Implications:
- Transcatheter intervention offers a viable, less invasive alternative to surgery for managing stent embolization in high-risk infants.
- This case highlights the feasibility and safety of endovascular techniques for complex pediatric cardiac interventions.
Abstract:
Intracardiac stent embolization is a challenging complication in a small infant. A Palmaz stent was placed across the atrial septum in a 3-month-old boy to relieve symptoms of right-side heart failure. On routine chest radiography one week later, the stent was found to have embolized into the right ventricle. The stent was retrieved and repositioned by means of transcatheter technique, without subsequent complications. We found this method to be a viable alternative to surgery in a high-risk infant. To our knowledge, this is the first report of the successful transcatheter retrieval and repositioning of an expandable intravascular stent from an intraventricular position in an infant.
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