Publication Date
3-1-2023
Journal
The Texas Heart Institute Journal
DOI
10.14503/THIJ-20-7505
PMID
37023794
Publication Date(s)
March 2023
Language
English
PMCID
PMC10178660
PubMedCentral® Posted Date
4-6-2023
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Aged, Humans, Male, Angioplasty, Balloon, Coronary, Coronary Angiography, Coronary Vessels, Stents
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Abstract
Although several techniques have been reported for managing an on-wire dislodged stent in the coronary artery, very few reports have focused on the much rarer complication of an off-wire dislodged stent. In a 73-year-old man who experienced an off-wire dislodged coronary stent, the proximal elongated segment was lodged in the left main coronary artery, and the distal segment was floating in the aorta like a wind sock. After a failed attempt at retrieval using a gooseneck microsnare, the dislodged stent was successfully removed using a 3-loop vascular snare via the left radial artery. There was no obvious vascular injury. This novel technique for removing a partially floating dislodged stent was successful after conventional retrieval techniques failed.