Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Successful Retrieval of Intravascular Stent Remnants With a Combination of Rotational Atherectomy and a Gooseneck Snare

  • Kim, Jung-Hyuk (Division of Cardiology, Department of Internal Medicine, Han-Il General Hospital) ;
  • Jang, Woo-Jin (Division of Cardiology, Department of Internal Medicine, Han-Il General Hospital) ;
  • Ahn, Kyung-Ju (Division of Cardiology, Department of Internal Medicine, Han-Il General Hospital) ;
  • Song, Young-Bin (Division of Cardiology, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hahn, Joo-Yong (Division of Cardiology, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Jin-Ho (Division of Cardiology, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Seung-Hyuk (Division of Cardiology, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Sang-Hoon (Division of Cardiology, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Gwon, Hyeon-Cheol (Division of Cardiology, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Published : 2012.07.31
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Abstract

Stent migration from the delivery balloon catheter is a rare but serious complication during percutaneous coronary intervention, particularly when a part of the stent stretches into the aorta. We report an unusual case of stent migration treated with a combination of a gooseneck snare and rotablation. A part of the stent was overstretched and unrolled into the aorta and the rest of the stent remained implanted in the coronary artery. The stent was captured with a gooseneck snare but could not be retrieved because it was connected to a stent remnant implanted in the coronary artery. The stent strut was cut with rotablation, and the stent was successfully removed through the femoral sheath.

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References

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  2. Re-mobilization of Lost Coronary Stent From the Axillary Artery to the Femoral Artery vol.5, pp.1, 2012, https://doi.org/10.12997/jla.2016.5.1.87
  3. Retrieval of a dislodged and dismounted coronary stent; using a rendezvous and snare technique at the brachial artery level via femoral approach vol.33, pp.2, 2012, https://doi.org/10.12701/yujm.2016.33.2.138