STENT DISLODGEMENT AND SUCCESSFUL CRUSHING OF THE STENT IN LMCA IN A PATIENT WITH ISCHEMIC CARDIOMYOPATHY AND TWO

Davor Radić1, Eduard Margetić1

  • 1University Hospital Centre Zagreb, Department of Cardiovascular Diseases, Zagreb, Croatia.

PubMed

Insights

Stent loss during percutaneous coronary intervention is rare. This case report details a successful resolution of dislodged stent in the left main coronary artery, avoiding patient consequences.

Area of Science:

  • Cardiovascular Interventions
  • Interventional Cardiology
  • Medical Device Complications

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
  • Stent loss or dislodgement is an infrequent but significant complication during PCI.
  • Left main coronary artery interventions carry inherent risks due to the vessel's critical importance.

Observation:

  • An 80-year-old patient with multiple comorbidities underwent PCI.
  • Stent dislodgement occurred during the PCI procedure targeting the left main coronary artery.
  • The patient presented with complex cardiac anatomy and comorbidities.

Findings:

  • The dislodged stent in the left main coronary artery was successfully retrieved and managed.
  • The complication was resolved without any adverse sequelae for the patient.
  • This case highlights the importance of vigilance and preparedness for rare complications.

Implications:

  • Successful management of stent dislodgement is achievable, even in complex cases.
  • This case contributes to the understanding of managing rare PCI complications.
  • Adherence to procedural protocols and prompt intervention are crucial for patient safety in interventional cardiology.

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