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Balloon catheter retrieval of dislodged coronary artery stents: a novel technique
M B Cishek1, L Laslett, G Gershony
1Division of Cardiovascular Medicine, University of California Davis Medical Center, Sacramento 95817, USA.
Insights
Intracoronary stenting can lead to stent dislodgement. This case demonstrates successful retrieval of a dislodged coronary stent from the iliac artery using a peripheral angioplasty balloon.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
- Medical Device Technology
Background:
- Intracoronary stenting is a common procedure for treating coronary artery disease.
- Potential complications include stent malpositioning, dislodgement, and distal embolization.
- Managing dislodged stents requires careful consideration to avoid further patient harm.
Observation:
- A stent dislodged from its intended coronary artery position during an intracoronary stenting procedure.
- The dislodged stent migrated distally to the iliac artery.
- Standard retrieval techniques were considered.
Findings:
- A peripheral angioplasty balloon was successfully utilized to capture the dislodged stent.
- The stent was carefully withdrawn into the arterial sheath.
- Successful removal of the dislodged stent from the patient was achieved.
Implications:
- This case highlights an alternative technique for managing coronary stent dislodgement.
- Peripheral angioplasty balloons may serve as a valuable tool for stent retrieval in challenging anatomical locations.
- Improved strategies for stent retrieval can enhance patient safety during interventional procedures.
Abstract:
Potential complications of intracoronary stenting include stent dislodgement and embolization. We describe a patient in whom a stent was dislodged from a coronary balloon catheter to the iliac artery. A peripheral angioplasty balloon was used to withdraw the stent into the arterial sheath and thereby remove it from the patient.
