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KMID : 0338420130280060718
The Korean Journal of Internal Medicine
2013 Volume.28 No. 6 p.718 ~ p.723
Two dislodged and crushed coronary stents: treatment of two simultaneously dislodged stents using crushing techniques
Yang Dong-Hyeok

Woo Seong-Ill
Kim Dae-Hyeok
Park Sang-Don
Jang Ji-Hun
Kwan Jun
Shin Sung-Hee
Abstract
Coronary stent dislodgement is a rare complication of percutaneous coronary intervention. We report a rare case of dislodgement of two intracoronary stents. On withdrawal of two balloon catheters, one with a guide wire was mechanically distorted from the left main (LM) to the proximal left anterior descending artery (LAD) while the other was dislodged from the LM to the ostial left circumflex artery. The stent in the LAD could not be retrieved into the guide catheter using a Goose neck snare, because it was caught on a previously deployed stent at the mid LAD. A new stent was quickly deployed from the LM to the proximal LAD, because the patient developed cardiogenic shock. Both stents, including a distorted and elongated stent, were crushed to the LM wall. Stent deployment and crushing may be a good alternative technique to retrieving a dislodged stent.
KEYWORD
Stent dislodgement, Percutaneous coronary intervention, Stent deployment
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