Key result
Wire twisting for dislodged stent retrieval linked to proximal RCA dissection requiring urgent bailout stenting.
Why the study?
Stent loss is a major complication during PCI, and technical challenges and potential risks are associated with the wire twisting retrieval method.
The wire twisting method for retrieving a dislodged stent during PCI carries significant risks, including damage to previously deployed stents and coronary dissection.
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May cause dissection requiring bailout stenting; challenges consensus on wire twisting safety yet leaves open alternatives.
Stent loss is one of the major complications which can occur during percutaneous coronary intervention (PCI). We report a case of a 65‐year‐old man, diabetic and smoker, who presented to us with an inferior wall myocardial infarction. During primary PCI, stent loss occurred while attempting to cover a residual lesion. The wire twisting method was employed for retrieval, but this resulted in retraction of previously deployed stent and flow limiting proximal right coronary artery (RCA) dissection, necessitating urgent bailout stenting. The case highlights the technical challenges and potential risks associated with the wire twisting method.
Ak et al. (2026) studied this question. The wire twisting method to retrieve a dislodged stent during PCI caused proximal RCA dissection and required urgent bailout stenting.
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