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Updated: Nov 11, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Emergency CABG for a migrated stent in a COVID-19 positive patient
Juan F Parra1, Eric E Vinck2, Oscar Sánchez1
1Division of Cardiovascular Surgery, Fundación Clínica Shaio, Bogotá, Colombia.
Insights
A stent dislodged during percutaneous coronary intervention (PCI) in a COVID-19 patient with STEMI, necessitating emergency coronary artery bypass grafting (CABG) for removal. This rare complication highlights risks even with standard procedures.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiovascular Surgery
Background:
- Percutaneous coronary interventions (PCI) are standard treatments for coronary artery disease.
- Iatrogenic complications like stent dislodgement occur in approximately 0.21% of PCI cases.
- Stent dislodgement often necessitates emergency coronary artery bypass grafting (CABG).
Abstract:
Percutaneous coronary interventions (PCI) have become a standard of treatment worldwide. Despite high safety rates, iatrogenic complications caused by stent dislodgements do exist in 0.21% of cases and most require emergency coronary artery by-pass grafting (CABG). Here we present a case of a coronavirus disease 2019 positive 40-year-old male patient presenting with STEMI due to thrombotic lesions in his left coronary trunk. The patient is taken to PCI and stent placement. Stent dislodgement results in the need for emergency CABG and stent removal. Informed consent and ethics approval were obtained.
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