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Stent migration in the distal ulnar artery: A case report
H Paoli1, E Lupon2, S Gandolfi1
1Department of Plastic Surgery, University Toulouse III Paul Sabatier, 1 Avenue du Pr Jean Poulhès, 31400 Toulouse, France.
Hand Surgery & Rehabilitation
|January 25, 2022
Summary
Stent loss during angioplasty is rare but serious. A migrated coronary stent was successfully removed from a patient
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Percutaneous coronary intervention (PCI) with stenting is a standard treatment for cardiovascular ischemic lesions.
- Stent loss, though infrequent, can lead to serious complications like vessel occlusion due to migration.
Observation:
- A 77-year-old woman experienced stent migration following coronary angioplasty.
- The lost stent migrated distally into the right ulnar artery, near the superficial palmar arch.
Findings:
- Surgical removal of the migrated stent was successfully performed.
- The procedure utilized fluoroscopy and microscopy, preserving the patient's vascular integrity.
Implications:
- This case highlights a rare complication of coronary angioplasty and stenting.
- Management of lost stents in the circulation requires individualized therapeutic strategies.
- Successful retrieval demonstrates the feasibility of intervention even in challenging peripheral locations.
