Intracoronary undeployed stent embolization occurring during percutaneous coronary intervention is an infrequent complication. Published data indicate that without stent retrieval, the outcome is unfavourable. The present report describes a case in which failure to retrieve an undeployed embolized stent from the mid right coronary artery was managed conservatively with acetylsalicylic acid, clopidogrel and warfarin without any major adverse cardiac events during hospitalization or up to 12 months follow-up. This approach may be an alternative treatment of undeployed embolized intracoronary stent when retrieval or deployment is unsuccessful.
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Ann Vasc Surg
May 2021
Vascular Surgery, Department of Medicine and Surgery, University of Parma Parma, Italy.
Background: Transcatheter aortic valve implantation (TAVI) has proven over the years to be a viable alternative to open surgery. A rare but severe complication is represented by the valve migration. We report a case of TAVI complication due to the loss of the prosthetic valve in the abdominal aorta treated by endovascular approach.
View Article and Find Full Text PDFCatheter Cardiovasc Interv
March 2021
Cardiovascular Division, University of Virginia Health System, Charlottesville, Virginia, USA.
Most reports of stent retrieval involve undeployed, embolized stents. While the retrieval of fully deployed stents has been sporadically reported, most of these were not intentional. The feasibility and safety of intentional retrieval of fully deployed, but erroneously placed stents have not been well described.
View Article and Find Full Text PDFAnn Vasc Surg
February 2016
Vascular Surgery Unit, Sant'Andrea Hospital, University of Rome-"La Sapienza", Rome, Italy.
To present a case of successful emergency complete endovascular repair of a ruptured type IV thoracoabdominal aortic aneurysms (TAAA) through chimney technique with off-the-shelf devices. A 64-year-old man with a free ruptured type IV TAAA. Open access was obtained at both common femoral arteries, both axillary arteries, and left common carotid artery.
View Article and Find Full Text PDFExp Clin Cardiol
July 2011
Division of Cardiology, The Southern Arizona VA Health Care System, and Division of Cardiology, University of Arizona Sarver Heart Center, Tucson, Arizona, USA.
Intracoronary undeployed stent embolization occurring during percutaneous coronary intervention is an infrequent complication. Published data indicate that without stent retrieval, the outcome is unfavourable. The present report describes a case in which failure to retrieve an undeployed embolized stent from the mid right coronary artery was managed conservatively with acetylsalicylic acid, clopidogrel and warfarin without any major adverse cardiac events during hospitalization or up to 12 months follow-up.
View Article and Find Full Text PDFStent dislodgment or embolisation of a stent before deployment is a well known but feared problem in interventional cardiology with hazardous potential for the patient. Typically, dislodged stents are found in the treated vessel or embolise to the systemic circulation. Embolisation of an undeployed stent from one coronary artery to another has never been reported before.
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