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689
Hybrid Approach for Embolized Right Ventricular Outflow Tract Stent
Sudesh Prabhu1, Rishi Tiwari1, Siddhant Mehra1
1501944 Department of Paediatric Cardiac Surgery, Narayana Institute of Cardiac Sciences, Bengaluru, India.
Innovations (Philadelphia, Pa.)
|September 28, 2020
Summary
Embolized stents after right ventricular outflow tract stenting can be challenging to retrieve. A novel hybrid approach offers a less invasive alternative to surgery for retrieving these displaced stents.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Stent displacement and embolization are significant complications following right ventricular outflow tract (RVOT) stenting.
- Percutaneous retrieval of embolized RVOT stents is difficult due to their inability to be crimped back into a delivery sheath.
- Surgical intervention is currently the standard treatment for embolized RVOT stents.
Purpose of the Study:
- To describe a novel hybrid approach for the retrieval of embolized right ventricular outflow tract stents.
- To present an alternative to surgical intervention for managing this specific complication.
Main Methods:
- A hybrid approach combining interventional and surgical techniques was utilized for stent retrieval.
- Details of the procedural steps for the hybrid retrieval are outlined.
Main Results:
- The described hybrid approach facilitates the retrieval of embolized RVOT stents.
- This method is anticipated to reduce patient morbidity compared to traditional open surgery.
Conclusions:
- A hybrid approach provides a viable and potentially less morbid alternative for managing embolized RVOT stents.
- Further evaluation may establish this technique as a preferred method over surgery in select cases.
