Stent dislodgement in left anterior descending coronary artery and successful deployment with two parallel wires and a small balloon.
Coronary artery stent dislodgement during angioplasty is a rare complication. Stent dislodgement was more frequent in the past when stents were manually crimped onto the balloon. Newer and improved balloon-mounted stents with better radio-opacity have reduced the incidence of stent dislodgement but do not completely eliminate it. We report a case of balloon-mounted stent dislodgement in the proximal left anterior descending (LAD) coronary artery prior to deployment. This patient however was successfully treated with re-wiring of the artery with two parallel wires and the stent's reposition prior to deployment with the help of a small balloon.
International Islamic University, Kuala Lumpur, Malaysia. harrisngow@gmail.com
Harris
H
Ngow
D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D023921:Coronary Stenosis / Q000209:etiology / Q000628:therapy*; D003331:Coronary Vessels; D020878:Device Removal / Q000295:instrumentation / Q000379:methods; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004868:Equipment Failure; D019544:Equipment Failure Analysis; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D015607:Stents