Entrapment of a drug-eluting stent in left anterior descending artery and left main artery leading to a life-threatening complication.

Sunil P. Wani, Seung-Woon Rha, Ji Young Park

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Sudden stent loss after stent entrapment in a tight coronary lesion is an unexpected and devastating complication. Proper and timely steps without pressing the panic button are necessary. We describe a case of entrapment of a sirolimus-eluting stent into the left coronary artery system. Although the entrapped drug-eluting stent was successfully removed using a snare device, excessive guide manipulation under this life-threatening condition led to extensive left main and left circumflex artery dissection. This was immediately rescued by direct stenting to the left main and circumflex arteries. The usage of snare device in this bail-out situation was successful, safe and prevented emergency bypass surgery.

Original languageEnglish
JournalThe Journal of invasive cardiology
Volume22
Issue number5
Publication statusPublished - 2010 May 1

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Drug-Eluting Stents
Stents
Arteries
Equipment and Supplies
Panic
Sirolimus
Dissection
Coronary Vessels
Emergencies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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abstract = "Sudden stent loss after stent entrapment in a tight coronary lesion is an unexpected and devastating complication. Proper and timely steps without pressing the panic button are necessary. We describe a case of entrapment of a sirolimus-eluting stent into the left coronary artery system. Although the entrapped drug-eluting stent was successfully removed using a snare device, excessive guide manipulation under this life-threatening condition led to extensive left main and left circumflex artery dissection. This was immediately rescued by direct stenting to the left main and circumflex arteries. The usage of snare device in this bail-out situation was successful, safe and prevented emergency bypass surgery.",
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AB - Sudden stent loss after stent entrapment in a tight coronary lesion is an unexpected and devastating complication. Proper and timely steps without pressing the panic button are necessary. We describe a case of entrapment of a sirolimus-eluting stent into the left coronary artery system. Although the entrapped drug-eluting stent was successfully removed using a snare device, excessive guide manipulation under this life-threatening condition led to extensive left main and left circumflex artery dissection. This was immediately rescued by direct stenting to the left main and circumflex arteries. The usage of snare device in this bail-out situation was successful, safe and prevented emergency bypass surgery.

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