AI Article Synopsis
- Stent dislodgement is a serious complication during heart procedures that can lead to severe issues like heart attacks and even death, with certain artery conditions increasing its risk.
- In a reported case, a 64-year-old man experienced the loss of two stents during a procedure, but this was successfully managed by using a balloon to expand the stent.
- If a dislodged stent cannot be retrieved, one potential solution is to crush it against the blood vessel wall, although the exact causes of these complications are still unclear.
Article Abstract
Background: Stent dislodgement is a life-threatening complication that can result in coronary artery embolization, stent thrombosis, acute myocardial infarction, and even death. Severely angulated, heavily calcified, and previously stented coronary arteries are associated risk factors. With the development of different lesion preparation techniques and the drug eluting stent era, the reported incidence of stent dislodgement has decreased to < 1% in the last few years.
Case Presentation: We report a case of a 64-year-old Moroccan man complicated during percutaneous intervention in the left main artery by the loss of two stents. This complication was successfully managed by passing the stent's balloon into the stent and then fully expanding it. In our case, the device's characteristics were involved and could play a role in such complications, but it is still not well understood.
Conclusions: The main treatment option is stent retrieval with different available techniques. If retrieval of the stent is impossible, crushing it against the blood vessel wall could be considered.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10946172 | PMC |
| http://dx.doi.org/10.1186/s13256-024-04491-6 | DOI Listing |
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