Stent Dislodgement During Percutaneous Coronary Intervention: How to Get the Ring Off?

Area of Science:

• Interventional Cardiology
• Cardiovascular Surgery

Background:

• Iatrogenic coronary artery dissection is a rare but serious complication during percutaneous coronary intervention (PCI).
• Stent dislodgement or loss is a potential complication during PCI, particularly when treating complex dissections.

Observation:

• This case report details a patient experiencing stent dislodgement during an attempted treatment for iatrogenic left main coronary artery dissection.
• The iatrogenic dissection occurred as a complication of a prior percutaneous coronary intervention procedure.

Findings:

• The study presents a specific percutaneous technique successfully employed to manage stent dislodgement in the context of left main coronary artery dissection.
• The chosen approach effectively resolved the complication, restoring coronary artery patency.

Implications:

• This case highlights the importance of recognizing and managing rare complications like stent dislodgement during PCI.
• The presented technique offers a valuable strategy for interventional cardiologists facing similar challenging scenarios in complex coronary interventions.