Abstract
Coronary stent loss during percutaneous coronary intervention is rare and is often associated with significant morbidity. Several retrieval techniques, overlying stent deployment and crushing, and surgical removal can be used to deal with a stent lost in the coronary system. We successfully treated a dislodged and mechanically distorted coil stent stuck within a previously implanted drug-eluting stent (DES) by stent-crush technique. This case might provide insight into the mechanisms responsible for the longitudinal fragility of cobalt alloy and coil-structure stents and stent fracture of DES. In the DES era, careful attention should be paid to such complications when attempting to deliver a stent to a distal vessel through a pre-existing DES.
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References
Kammler J, Leisch F, Kerschner K, Kypta A, Steinwender C, Kratochwill H, Lukas T, Hofmann R (2006) Long-term follow-up in patients with lost coronary stents during interventional procedures. Am J Cardiol 98:367–369
Brilakis ES, Best PJ, Elesber A, Barsness GW, Lennon RJ, Holmes DR Jr, Rihal CS, Garratt KN (2005) Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Catheter Cardiovasc Interv 66:333–340
Eggebrecht H, Haude M, von Birgelen C, Oldenburg O, Baumgart D, Herrmann J, Welge D, Bartel T, Dagres N, Erbel R (2000) Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv 51:432–440
Ormiston JA, Webber B, Webster MW (2011) Stent longitudinal integrity bench insights into a clinical problem. JACC Cardiovasc Interv 4:1310–1317
Pitney M, Pitney K, Jepson N, Friedman D, Nguyen-Dang T, Matthews J, Giles R, Taylor D (2011) Major stent deformation/pseudofracture of 7 Crown Endeavor/Micro Driver stent platform: incidence and causative factors. EuroIntervention 7(2):256–262
Tanaka N, Pijls NH, Koolen JJ, Botman KJ, Michels HR, Brueren BR, Peels K, Shindo N, Yamashita J, Yamashina A (2011) Assessment of optimum stent deployment by stent boost imaging: comparison with intravascular ultrasound. Heart Vessels. doi:10.1007/s00380-011-0202-9
Buja P, Lanzellotti D, Isabella G, Napodano M, Panfili M, Favaretto E, Iliceto S, Tarantini G (2011) Comparison between sirolimus- and paclitaxel-eluting stents for the treatment of older patients affected by coronary artery disease: results from a single-center allcomers registry. Heart Vessels. doi:10.1007/s00380-011-0194-5
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Online Resource 1. Coronary angiography revealed that the Endeavor stent was stuck in the proximal LAD within the Taxus stents. AP, CAU 30 view (MPEG, 2429 kb)
Online Resource 3. Final angiography of the left coronary artery. Left anterior oblique 30, CAU 30 view (MPEG, 2075 kb)
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Watabe, H., Sato, A., Hoshi, T. et al. Dislodged and mechanically distorted stent stuck within a previously implanted drug-eluting stent. Heart Vessels 28, 541–545 (2013). https://doi.org/10.1007/s00380-012-0290-1
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DOI: https://doi.org/10.1007/s00380-012-0290-1