Successful Transcatheter Retrieval of the Embolized Coronary Stent During Primary Percutaneous Coronary Intervention

Abstract

Stent dislodgement or embolization occuring during primary percutaneous coronary intervention (PCI) is a very seldom and potentially serious complication related to neurological events and peripheral arterial ischemia, loss of time and thus delayed optimal revascularization, resulting in worse outcomes. The most probable conditions associated with a higher risk of stent embolization are severe coronary lesion features (i.e., angulated vessel or calcified lesion), inadequate support of the guiding catheter, and physical properties of the stent used. Non-surgical and, if needed, cardiac or peripheral surgical retrieval techniques can be used for this complication. We report a case of embolization of a zotarolimus-eluting coronary stent into peripheral circulation during primary PCI and its successful retrieval using a snare catheter.




J Med Cases. 2016;7(10):417-419
doi: http://dx.doi.org/10.14740/jmc2481w