Successful emergent surgical revascularization and retrieval of entrapped drug eluting stent.
We report the case of a 61-year-old man who was treated with percutaneous coronary intervention (PCI) for unstable angina. Seven days after the procedure, he voluntary suspended double anti-aggregant therapy and experienced acute coronary thrombotic occlusion. A repeat PCI procedure was undertaken but the stent and the balloon remained entrapped in the proximal left main-left anterior descending coronary artery. After ineffective attempt of stent removal using an Amplatz goose neck catheter, the patient that was hemodynamically stable underwent uneventful emergency coronary artery bypass grafting and removal of the damaged stent and Amplatz goose neck.
Bruschi
Giuseppe
G
A De Gasperis Cardiology and Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy. giuseppe.bruschi@fastwebnet.it
Colombo
Paola
P
Piccalò
Giacomo
G
Trunfio
Salvatore
S
Colombo
Tiziano
T
Vitali
Ettore
E
D000789:Angina, Unstable / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D000077144:Clopidogrel; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000628:therapy*; D020878:Device Removal / Q000379:methods; D054855:Drug-Eluting Stents; D004632:Emergency Medical Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D019233:Retreatment; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D016312:Treatment Refusal
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine