Two stents' dislodgement in the left main coronary artery: a case report.
Complications
Left main stenting
Percutaneous intervention
Stent dislodgement
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
18 Mar 2024
18 Mar 2024
Historique:
received:
15
02
2023
accepted:
29
02
2024
medline:
18
3
2024
pubmed:
18
3
2024
entrez:
18
3
2024
Statut:
epublish
Résumé
Stent dislodgement is a life-threatening complication that can result in coronary artery embolization, stent thrombosis, acute myocardial infarction, and even death. Severely angulated, heavily calcified, and previously stented coronary arteries are associated risk factors. With the development of different lesion preparation techniques and the drug eluting stent era, the reported incidence of stent dislodgement has decreased to < 1% in the last few years. We report a case of a 64-year-old Moroccan man complicated during percutaneous intervention in the left main artery by the loss of two stents. This complication was successfully managed by passing the stent's balloon into the stent and then fully expanding it. In our case, the device's characteristics were involved and could play a role in such complications, but it is still not well understood. The main treatment option is stent retrieval with different available techniques. If retrieval of the stent is impossible, crushing it against the blood vessel wall could be considered.
Sections du résumé
BACKGROUND
BACKGROUND
Stent dislodgement is a life-threatening complication that can result in coronary artery embolization, stent thrombosis, acute myocardial infarction, and even death. Severely angulated, heavily calcified, and previously stented coronary arteries are associated risk factors. With the development of different lesion preparation techniques and the drug eluting stent era, the reported incidence of stent dislodgement has decreased to < 1% in the last few years.
CASE PRESENTATION
METHODS
We report a case of a 64-year-old Moroccan man complicated during percutaneous intervention in the left main artery by the loss of two stents. This complication was successfully managed by passing the stent's balloon into the stent and then fully expanding it. In our case, the device's characteristics were involved and could play a role in such complications, but it is still not well understood.
CONCLUSIONS
CONCLUSIONS
The main treatment option is stent retrieval with different available techniques. If retrieval of the stent is impossible, crushing it against the blood vessel wall could be considered.
Identifiants
pubmed: 38494477
doi: 10.1186/s13256-024-04491-6
pii: 10.1186/s13256-024-04491-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
158Informations de copyright
© 2024. The Author(s).
Références
Bolte J, Neumann U, Pfafferott C, Vogt A, Engel HJ, Mehmel HC, et al. Incidence, management, and outcome of stent loss during intracoronary stenting. Am J Cardiol. 2001;88(5):565–7.
doi: 10.1016/S0002-9149(01)01742-8
pubmed: 11524072
Iturbe JM, Abdul-rahman R, Papayannis A, Mahmood A, Rangan BV, Banerjee S, et al. Frequency, treatment, and consequences of device loss and entrapment in contemporary percutaneous coronary interventions. J Invasive Cardiol. 2012;24(5).
Alomar ME, Michael TT, Patel VG, Altomare CG, Rangan BV. Stent loss and retrieval during percutaneous coronary interventions: a systematic review and meta-analysis. J Invasive Cardiol. 2013;25(12).
Brilakis ES, Best PJ, Elesber AA, Barsness GW, Lennon RJ, Holmes DR Jr, et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Catheter Cardiovasc Interv. 2005;66(3):333–40.
doi: 10.1002/ccd.20449
pubmed: 16142808
Cantor WJ, Lazzam C, Cohen EA, Bowman KA, Dolman S, Mackie K, et al. Failed coronary stent deployment. Am Heart J. 1998;136(6):1088–95.
doi: 10.1016/S0002-8703(98)70168-1
pubmed: 9842025
Eggebrecht H, Haude M, Von Birgelen C, Oldenburg O, Baumgart D, Herrmann J, et al. Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv. 2000;51(4):432–40.
doi: 10.1002/1522-726X(200012)51:4<432::AID-CCD12>3.0.CO;2-1
pubmed: 11108675
Rigatelli G, Zuin M, Vassilev D, Dell’Avvocata F, Giordan M, Conte L, et al. Risk of dislodgement of ultrathin drug eluting stents versus thick drug eluting stents. Am J Cardiol. 2020;125(11):1619–23.
doi: 10.1016/j.amjcard.2020.03.005
pubmed: 32278462
Laarman G, Muthusamy TS, Swart H, Westendorp I, Kiemeneij F, Slagboom T, et al. Direct coronary stent implantation: safety, feasibility, and predictors of success of the strategy of direct coronary stent implantation. Catheter Cardiovasc Interv. 2001;52(4):443–8.
doi: 10.1002/ccd.1099
pubmed: 11285596
IJsselmuiden AJJ, Tangelder GJ, Cotton JM, Vaijifdar B, Kiemeneij F, Slagboom T, et al. Direct coronary stenting compared with stenting after predilatation is feasible, safe, and more cost-effective in selected patients: evidence to date indicating similar late outcomes. Int J Cardiovasc Intervent. 2003;5(3):143–50.
doi: 10.1080/14628840310017807
pubmed: 12959731
Holmes DR. Stent complications. J Invasive Cardiol. 1998;10(7):385–95.
pubmed: 10973355
Kostantinis S, Karacsonyi J, Simsek B, Brilakis ES. Complications of stent loss during treatment of a heavily calcified and tortuous chronic total occlusion. Cardiovasc Revasc Med. 2022;40:293–7.
doi: 10.1016/j.carrev.2021.11.013
Lohavanichbutr K, Webb JG, Carere RG, Solankhi N, Jarochowski M, Yulia D, et al. Mechanisms, management, and outcome of failure of delivery of coronary stents. Am J Cardiol. 1999;83(5):779–81.
doi: 10.1016/S0002-9149(98)00990-4
pubmed: 10080438
Seo KW, Yang HM, Lim HS, Yoon MH. Stent dislodgement force of drug-eluting coronary stents: a bench test. Cardiovasc Diagn Therapy. 2022;12(3):370.
doi: 10.21037/cdt-22-49
Rigatelli G, Zuin M, Gianese F, Adami D, dell’Avvocata F, Barison S, et al. Ultrathin biodegradable-polymer orsiro drug-eluting stent performance in real practice challenging settings. Cardiovasc Revasc Med. 2021;30:12–7.
doi: 10.1016/j.carrev.2020.09.027
pubmed: 33012686
Colkesen AY, Baltali M, Acil T, Tekin G, Tekin A, Erol T, et al. Coronary and systemic stent embolization during percutaneous coronary interventions a single center experience. Int Heart J. 2007;48(2):129–36.
doi: 10.1536/ihj.48.129
pubmed: 17409578
Wongpraparut N, Yalamachili V, Leesar MA. Novel implication of combined stent crushing and intravascular ultrasound for dislodged stents. J Invasive Cardiol. 2004;16(8):445–6.
pubmed: 15282424
Kirk MM, Herzog WR. Deployment of a previously embolized, unexpanded, and disarticulated Palmaz-Schatz stent. Cathet Cardiovasc Diagn. 1997;42(3):331–4.
doi: 10.1002/(SICI)1097-0304(199711)42:3<331::AID-CCD25>3.0.CO;2-N
pubmed: 9367117
Egbuche O, Mezue KN, Nwokike SI, Abe T, Olanipekun T, Onuorah I, et al. Left main stenting with stent dislodgement and entrapment in the common femoral artery: a successful transcatheter stent retrieval. Am J Cardiovasc Dis. 2021;11(3):421.
pubmed: 34322313
pmcid: 8303031
Meisel SR, DiLeo J, Rajakaruna M, Pace B, Frankel R, Shani J. A technique to retrieve stents dislodged in the coronary artery followed by fixation in the iliac artery by means of balloon angioplasty and peripheral stent deployment. Catheter Cardiovasc Interv. 2000;49(1):77–81.
doi: 10.1002/(SICI)1522-726X(200001)49:1<77::AID-CCD17>3.0.CO;2-Y
pubmed: 10627373