Key result
Stepwise bailout strategy retrieves a dislodged stent from the radial artery to complete LAD PCI.
Why the study?
Coronary stent loss is a rare but potentially catastrophic complication of PCI, especially during complex procedures involving calcified lesions and bifurcations.
Case Report (n=1)
No
This case demonstrates that maintaining wire position and relocating a dislodged stent to the radial artery provides a controlled environment for safe retrieval and allows successful completion of complex PCI.
Supports radial relocation of wire-secured dislodged stents for retrieval; extends safe bailout options in complex PCI.
Coronary stent loss is a rare but potentially catastrophic complication of percutaneous coronary intervention (PCI), particularly during complex procedures involving calcified lesions and bifurcations. We report the case of a 74-year-old man undergoing PCI of a subacutely occluded proximal left anterior descending artery, complicated by stent dislodgement following an involuntary deep inspiration by the patient. The stent became partially detached from the delivery balloon and was successfully moved into the radial artery while remaining over the guidewire. A stepwise bailout strategy allowed safe completion of the coronary intervention via secondary access, followed by successful snaring and retrieval of the lost stent. This case highlights the importance of maintaining wire position, procedural patience, and structured problem-solving in managing rare but high-risk intraprocedural complications.
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Vicerè et al. (2026) conducted a case report in 74-year-old man with non–ST-segment elevation myocardial infarction, moderate left ventricular systolic dysfunction (ejection fraction 41%), and subacute occlusion of proximal left anterior descending artery undergoing complex PCI (n=1). complex PCI with balloon-based plaque modification, intravascular lithotripsy (IVL), drug-eluting stent implantation, and bailout strategy including stent retrieval by snaring from radial artery was evaluated on successful completion of PCI with retrieval of lost coronary stent and uneventful clinical outcome at 1-month follow-up. A stepwise bailout strategy enabled successful retrieval of a partially dislodged coronary stent from the radial artery and safe completion of complex PCI in a 74-year-old man with subacute LAD occlusion.
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