title: How should I treat stent dislodgement in a STEMI patient resulting in dissection of left main and left circumflex arteries?
abstract: BACKGROUND
  A 52-year-old female presented with acute anterior ST-elevation myocardial infarction (STEMI) within one hour of symptom onset to the emergency department. She was referred for urgent primary angioplasty.
  
  
  METHODS
  Physical examination, laboratory investigations, ECG, urgent percutaneous coronary intervention (PCI).
  
  
  METHODS
  Single-vessel coronary artery disease (SVD).
  
  
  METHODS
  Intended to stent culprit lesion. However, stent dislodged in left main coronary artery (LMCA) during attempted PCI to diffuse mid segment of left anterior descending (LAD). Initial attempt failed to retrieve the dislodged stent with snare. Dislodged stent removed with multiple wire technique, complicated by severe dissection in LAD and left circumflex artery back into the LMCA. The stent was trapped at tip of 6 Fr right femoral sheath, unable to be withdrawn. What next?
authors: National Heart Centre, Singapore, Singapore.
authors: Sanjay K
authors: SK
authors: Kohli
authors: Yeong Phang
authors: YP
authors: Lim
authors: Siang Hui
authors: SH
authors: Lai
authors: Jack Wei Chieh
authors: JW
authors: Tan
authors: David
authors: D
authors: Taggart
authors: Raj
authors: R
authors: Kharbanda
authors: Didier
authors: D
authors: Carrié
authors: Nicolas
authors: N
authors: Boudou
mesh_terms: D017130:Angioplasty / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000473:pathology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000379:methods; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome