Transesophageal echocardiography in detecting a dislodged coronary stent
Wenqian Wu1,2, Manwei Liu1,2, Lingyun Fang3,4
1Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
The International Journal of Cardiovascular Imaging
|September 19, 2023
Summary
A rare case of coronary stent dislodgement after percutaneous coronary intervention is presented. Two-dimensional and three-dimensional transesophageal echocardiography proved valuable in detecting the dislodged stent.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
- Stent dislodgement is a rare but serious complication following PCI.
Observation:
- A case of coronary stent dislodgement at the aortic root after PCI is described.
- The dislodged stent was successfully visualized and located.
Findings:
- Two-dimensional transesophageal echocardiography (2D-TEE) effectively identified the dislodged stent.
- Three-dimensional transesophageal echocardiography (3D-TEE) provided detailed anatomical information of the dislodged stent's position.
- Echocardiography is crucial for diagnosing stent migration and malposition.
Implications:
- This case highlights the importance of advanced echocardiographic techniques in managing rare PCI complications.
- Early and accurate detection of dislodged stents can guide appropriate clinical management.
- TEE can be a valuable tool in preventing and managing stent-related adverse events.
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