Unintended stent extraction from a coronary artery during bifurcation coronary angioplasty.
We report an elective angioplasty of a left circumflex artery (LCx) bifurcation lesion treated by provisional stenting. With a "jailed" wire in the first obtuse marginal, we deployed a 3.0 x 28 mm drug-eluting stent into the main branch. The jailed wire was tangled up in a tortuous side branch. We were unable to retrieve the wire. Forceful wire removal led to an unintended extraction of the fully deployed stent from the main branch.
Varvarovsky
Ivo
I
Cardiac Catheterization Laboratory Kardio-Troll, Department of Cardiology, Regional Hospital Pardubice, Czech Republic. ivarvarovsky@seznam.cz
Matejka
Jan
J
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries*; D054855:Drug-Eluting Stents; D005471:Fluoroscopy; D006801:Humans; D008297:Male