Successful coronary stent retrieval from the ascending aorta using a gooseneck snare kit

Coronary stent dislodgement is a rare complication of percutaneous coronary intervention. We report a case of stent dislodgement in the ascending thoracic aorta. The stent was mechanically distorted in the left circumflex artery (LCX) while being delivered to the proximal LCX lesion. The balloon cat...

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Bibliographic Details
Published in:The Korean journal of internal medicine 2013, 28(4), , pp.481-485
Main Authors: Jang, Ji-Hun, Woo, Seong-Ill, Yang, Dong-Hyeok, Park, Sang-Don, Kim, Dae-Hyeok, Shin, Sung-Hee
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - instrumentation
Aorta, Thoracic - diagnostic imaging
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Case Report
Coronary Angiography
Device Removal - instrumentation
Foreign Bodies - diagnostic imaging
Foreign Bodies - etiology
Foreign Bodies - therapy
Humans
Male
Middle Aged
Radiography, Interventional
Stents
Treatment Outcome
내과학
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Summary:Coronary stent dislodgement is a rare complication of percutaneous coronary intervention. We report a case of stent dislodgement in the ascending thoracic aorta. The stent was mechanically distorted in the left circumflex artery (LCX) while being delivered to the proximal LCX lesion. The balloon catheter was withdrawn, but the stent with the guide wire was remained in the ascending thoracic aorta. The stent was unable to be retrieved into the guide catheter, as it was distorted. A goose neck snare was used successfully to catch the stent in the ascending thoracic aorta and retrieved the stent externally via the arterial sheath.
ISSN:1226-3303
2005-6648
DOI:10.3904/kjim.2013.28.4.481