Coronary stent embolization to the left ventricle and its management

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Medical Device Complications

Background:

• Coronary stent embolization to the left ventricle is a rare but serious complication during percutaneous coronary intervention (PCI).
• Management strategies for dislodged stents in the left ventricle are not well-established, presenting a clinical dilemma.

Purpose of the Study:

• To report a successful retrieval of a coronary stent embolized to the left ventricle.
• To review existing literature on the management of left ventricular stent embolization.
• To provide insights into potential approaches for similar rare complications.

Main Methods:

• Case report of a patient experiencing coronary stent embolization during PCI.
• Successful retrieval of the embolized stent using a snare loop catheter.
• Comprehensive literature review on the topic of left ventricular stent embolization.

Main Results:

• The coronary stent was successfully retrieved from the left ventricle without further complications.
• Literature review indicates varied approaches, including conservative observation and attempted retrieval, each with associated risks.
• Limited data exists, highlighting the need for more documented cases and experience.

Conclusions:

• Successful retrieval of a left ventricular embolized stent is feasible with appropriate techniques.
• The optimal management strategy remains unclear due to the rarity of this complication.
• Further clinical experience and data sharing are crucial for developing evidence-based guidelines.