Percutaneous retrieval of a fully expanded maldeployed left subclavian artery stent: nightmares in cath lab.
A self expendable Nitinol stent was accidently maldeployed when precise positioning was being done in a pre dilated 100% occluded left subclavian artery. A significant part of stent was hanging into the arch of aorta necessitating removal of stent either surgically or percutaneously. The fully expanded stent was successfully retrieved with the help of Acu-snare and long 8F sheath without any injury or dissection of aorta or iliac artery. After retrieval of stent, the culprit lesion was stented with another self expendable stent in the same sitting with good end result.
Aggarwal
Vivek Prakash
VP
Department of Cardiology, Indraprastha Apollo Hospitals, New Delhi, India. dr4u2004@yahoo.co.in
Malik
Amit
A
Gupta
S K
SK
D001013:Aorta, Thoracic / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal / Q000379:methods; D005260:Female; D005547:Foreign Bodies / Q000209:etiology* / Q000601:surgery; D006801:Humans; D019300:Medical Errors; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects*; D013348:Subclavian Artery / Q000601:surgery; D013349:Subclavian Steal Syndrome / Q000601:surgery*