Case of dislodged stent lost in septal channel during stent delivery in complex chronic total occlusion of right coronary artery.
The retrograde approach is a recently introduced technique for percutaneous coronary intervention (PCI) of chronic total occlusions (CTO). To improve the long-term patency rate, stent implantation is necessary for CTO; however, antegrade stent delivery to the lesion is sometimes impossible in cases where there is a complex coronary anatomy. Although there have been some reports that retrograde stent delivery is useful in such cases, it is technically very challenging. We report a case of attempted stent deployment via the septal channel to treat a CTO, whereby the proximal right coronary artery was 360 degrees-looped and the stent dislodged in the septal channel.
Utsunomiya
Makoto
M
Cardiovascular center, Kyoto-Katsura Hospital, Kyoto, Japan. kcvc.utsunomiya@katsura.com
Kobayashi
Tomoko
T
Nakamura
Shigeru
S
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D015607:Stents / Q000009:adverse effects*