Dislodgement of multiple stents during PCI in heavily calcified lesions can be successfully managed percutaneously using redeployment and snare retrieval techniques, avoiding the need for emergency surgery.
Percutaneous snare retrieval may avoid emergency surgery after stent dislodgement; single case leaves open reproducibility and safety in broader PCI populations.
Coronary stent loss is a rare but serious complication during interventional cardiology. This complication occurs not only in the intracoronary area but also in the extracoronary area, such as the aortic root or the left ventricle. An 83-year-old man with stable angina had a stent inserted into a heavy calcific left anterior descending artery. The stent was lost twice during the procedure. The first stent was dislodged from the left main coronary artery to the proximal left anterior descending artery, and the second stent migrated to the aortic root following separation from the balloon. We successfully redeployed the first stent at the dislodged site and retrieved the second stent using a goose-neck snare after moving the stent to the descending aorta. These steps circumvented the need for the patient to undergo emergency cardiovascular surgery.
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Kim et al. (2013) studied this question.
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