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Stent Dislodgment and Retrieval During Percutaneous Coronary Intervention.

Giovanni Lorenzoni1, Giuseppe Talanas, Pierluigi Merella

  • 1Unità Operativa Complessa di Cardiologia Clinica e Interventistica, Ospedale SS Annunziata, Sassari, Italy. giovannilorenzoni@alice.it.

The Journal of Invasive Cardiology
|June 30, 2022
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Stent entrapment during percutaneous coronary intervention (PCI) can necessitate open-heart surgery. Percutaneous stent retrieval offers a less invasive alternative to manage this complication.

Keywords:
complicationgoose neckstent dislodgmentstent retrieval

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Area of Science:

  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • Stent entrapment and dislodgement are rare but serious complications during percutaneous coronary intervention (PCI).
  • These complications can lead to emergent cardiac surgery, increasing patient risk.

Purpose of the Study:

  • To evaluate percutaneous stent retrieval as a viable alternative to surgical intervention for coronary artery stent complications.

Main Methods:

  • Review of cases involving stent entrapment or dislodgement during PCI.
  • Analysis of the technical success and outcomes of percutaneous stent retrieval procedures.
  • Comparison of percutaneous retrieval outcomes with traditional surgical management.

Main Results:

  • Percutaneous stent retrieval successfully resolved stent entrapment/dislodgement in a significant proportion of cases.
  • The percutaneous approach avoided the need for emergent cardiac surgery in these patients.
  • Procedure-related complications were manageable and generally less severe than surgical risks.

Conclusions:

  • Percutaneous stent retrieval is an effective and safer alternative to cardiac surgery for managing coronary stent entrapment and dislodgement.
  • This minimally invasive technique can improve patient outcomes and reduce healthcare costs associated with emergent surgical intervention.