Percutaneous management of periprocedural coronary sinus Reducer migration

Area of Science:

• Cardiology
• Interventional Cardiology
• Medical Device Technology

Background:

• Refractory angina significantly impacts patient quality of life.
• The Coronary sinus Reducer (CSR) is an emerging therapy for managing refractory angina.
• Increasing CSR implantations necessitate understanding and managing potential complications.

Observation:

• Scaffold migration is a rare but serious complication following CSR implantation.
• In this case, the CSR scaffold migrated to the right atrium.
• Prompt recognition and intervention are crucial for managing scaffold migration.

Findings:

• Successful retrieval and management of the migrated CSR scaffold were achieved.
• The patient experienced no further adverse events post-intervention.
• This case highlights the importance of vigilance for CSR-related complications.

Implications:

• Effective management strategies for CSR scaffold migration are essential.
• This case provides valuable insights for interventional cardiologists performing CSR procedures.
• Ensuring patient safety requires a thorough understanding of potential device-related complications.