title: Dislodgement of a sirolimus-eluting stent in the circumflex artery and its successful deployment with a small-balloon technique.
abstract: Coronary stent dislodgement or embolization before deployment is a rare but serious complication in interventional cardiology. A 60-year-old male presented with unstable angina five years after coronary artery bypass surgery. There was a stenosis (70%) in the obtuse marginal branch of the circumflex artery. During percutaneous coronary intervention, a sirolimus-eluting stent was stripped from its balloon mainly because of significant proximal angulation and incarcerated within the proximal circumflex artery. A smaller balloon dilatation catheter was advanced and pushed through the inside of the slipped stent. Using this technique, the stent could be advanced into the lesion and was successfully deployed. To our knowledge, this is the first case report on sirolimus-eluting stent dislodgement.
authors: Department of Cardiology, Medicine Faculty of Uludağ University, Bursa, Turkey. tunaysenturk@hotmail.com
authors: Tunay
authors: T
authors: Sentürk
authors: Bülent
authors: B
authors: Ozdemir
authors: Dilek
authors: D
authors: Yeşilbursa
authors: Osman Akın
authors: OA
authors: Serdar
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000601:surgery; D023921:Coronary Stenosis / Q000209:etiology / Q000628:therapy*; D020878:Device Removal; D003937:Diagnosis, Differential; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged