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Surgical retrieval of undeployed intracoronary stent without cardiopulmonary bypass
W J Gomes1, J H Palma, A C Carvalho
1Cardiovascular Surgery Discipline, Escola Paulista de Medicina and Sao Paulo Hospital, Federal University of São Paulo, Brazil.
Insights
A case of undeployed intracoronary stent embolism is presented. Surgical retrieval and bypass grafting without cardiopulmonary bypass were required after failed percutaneous attempts.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Intracoronary stenting is a standard treatment for coronary angioplasty complications.
- Stent embolism is a known risk, potentially causing thrombosis and myocardial infarction.
Observation:
- An undeployed intracoronary stent embolized during a procedure.
- Percutaneous attempts to retrieve the embolized stent failed.
Findings:
- Surgical retrieval of the undeployed stent was necessary.
- Coronary artery bypass grafting was performed simultaneously.
- Both procedures were successfully completed without cardiopulmonary bypass.
Implications:
- Highlights the rare but serious complication of stent embolism.
- Demonstrates the feasibility of surgical intervention for stent retrieval.
- Emphasizes the possibility of performing complex cardiac procedures off-pump.
Abstract:
Intracoronary stenting has now become a widely established method for treatment of complications of coronary angioplasty. The risk of stent embolism exists and if not retrieved, it may lead to thrombosis and coronary occlusion with myocardial infarction. We report a case of embolism of an undeployed intracoronary stent where there was failure of percutaneous attempts to pull back the stent, requiring surgical retrieval and simultaneous coronary artery bypass grafting, both without cardiopulmonary bypass.