Entrapment of a drug-eluting stent in left anterior descending artery and left main artery leading to a life-threatening complication.
Sudden stent loss after stent entrapment in a tight coronary lesion is an unexpected and devastating complication. Proper and timely steps without pressing the panic button are necessary. We describe a case of entrapment of a sirolimus-eluting stent into the left coronary artery system. Although the entrapped drug-eluting stent was successfully removed using a snare device, excessive guide manipulation under this life-threatening condition led to extensive left main and left circumflex artery dissection. This was immediately rescued by direct stenting to the left main and circumflex arteries. The usage of snare device in this bail-out situation was successful, safe and prevented emergency bypass surgery.
Wani
Sunil P
SP
Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea.
Rha
Seung-Woon
SW
Park
Ji Young
JY
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries*; D020878:Device Removal; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D005260:Female; D006801:Humans