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Slippage of an Undeployed Stent in the Left Main Artery: A Case Report Study

Abdelaziz Ahmed Abdelaziz1, Ahmed Maher Abo Taleb2

  • 1Department of Cardiology, Teachers Hospital, Cairo, Egypt.

Heart Views : the Official Journal of the Gulf Heart Association
|August 16, 2023
PubMed

Insights

Stent loss in the left main artery during percutaneous coronary intervention is rare but dangerous. The culotte technique can successfully manage undeployed stent dislodging in the left main artery.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • Percutaneous coronary interventions (PCI) have advanced, making stent loss rare.
  • Dislodging of an undeployed stent in the left main (LM) artery during PCI poses a high risk of life-threatening complications.

Observation:

  • A 50-year-old male with diabetes, hypertension, and smoking history presented with exertional chest pain, ECG, and echo findings of ischemia.
  • A culotte technique was employed for stenting the LM-LCX and LM-LAD ostia.

Findings:

  • A new stent dislodged in the LM artery during the procedure.
  • The culotte technique was successfully used to crush the undeployed stent, repositioning it behind the deployed stents in the LM-LCX and LM-LAD.

Implications:

  • The culotte technique offers a viable solution for managing stent slippage and dislodging in the left main artery.
  • This case highlights the importance of adaptable techniques in managing rare but serious PCI complications.

Keywords:
Culotte techniqueleft anterior descending arteryleft circumflex arteryleft main arterystent slipping

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