What question did this study set out to answer?

This case explores complications associated with stent loss and techniques for effective retrieval following intervention failures.

January 10, 2026Journal of Cardiothoracic Surgery1 citationsOpen Access

Ostial right coronary artery stent loss, stent-in-stent entrapment, and subsequent surgical extraction

DSDanial Saleem WCWeihan Chen HDHussein Abu Daya

Key Result

Thorough interrogation and preparation of calcified lesions significantly reduce the risk of complications during and after percutaneous coronary intervention.

Key Points

This case explores complications associated with stent loss and techniques for effective retrieval following intervention failures.
Highlighted calcified lesion interrogation techniques
Discussed percutaneous retrieval methods
Emphasized multidisciplinary heart-team approach
Reviewed lesion preparation strategies
Identified technical reasons for stent loss
Showed effectiveness of various stent retrieval techniques
Underlined the need for a structured team approach in managing complications

Structured PICO

Population

1 59-year-old man with a history of obstructive coronary artery disease, hypertension, hyperlipidemia, type 2 diabetes, obesity, and prior percutaneous coronary intervention (multiple DES to LAD for non-STEMI 2 years prior), presenting with accelerating angina and exertional dyspnea.

Intervention

Elective percutaneous coronary intervention (PCI) of a heavily calcified right coronary artery without lesion interrogation or preparation, complicated by stent loss and entrapment, followed by surgical foreign body removal and on-pump coronary artery bypass grafting (CABG).

Outcome

Successful surgical extraction of the entrapped stent and surgical revascularization

This case highlights the critical need for adequate lesion preparation in calcified coronary arteries and demonstrates successful surgical salvage for severe PCI complications like stent entrapment.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

Current guidelines recommend thorough interrogation of calcified lesions (intracoronary imaging, functional testing), and, if indicated, adequate lesion preparation (lithotripsy, atherectomy, cutting/scoring balloon) prior to percutaneous coronary intervention. This case highlights the technical reasons for this complication, discussion on various percutaneous retrieval techniques, and the critical importance of a multidisciplinary heart-team approach in preventing complications, but also in salvaging them after failed percutaneous coronary intervention.

问 AI

Bookmark

View Full Paper

Cite This Study

Saleem et al. (Mon,) reported a other. Thorough interrogation and preparation of calcified lesions significantly reduce the risk of complications during and after percutaneous coronary intervention.

synapsesocial.com/papers/696321d491e05aa366cb8195 https://doi.org/https://doi.org/10.1186/s13019-025-03798-9

问 AI

Bookmark

View Full Paper