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KMID : 0368120000300101312
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Korean Circulation Journal
2000 Volume.30 No. 10 p.1312 ~ p.1315
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Removal of Dislodged Stent by Using 8 Fr Sheath and Forcep during Transradial Coronary Stenting
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박진곤/Jin Gon Park
김무현/배영진/이수훈/차광수/양창호/김영대/김종성/Moo Hyun Kim/Young Jin Bae/Soo Hoon Lee/Kwang Soo Cha/Chang Ho Yang/Young Dae Kim/Jong Seong Kim
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Abstract
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Stent dislogement or migration is not a rare complication. Its incidence varies from 1.4% to 8% of the cases. When stent migration occurs, the usual treatment or management is to implant stent in the distal peripheral artery or proximal coronary artery.
But, probably the best treatment is safe retrieval of the dislodged stent. During the transfemoral coronary intervention, undeployed stent can be more easily retrieved into the guiding catheter with relatively larger guiding catheter luminal space.
Also, larger sheath can be changed more easily when the retrieval of stent is difficult. In the transradial coronary stenting, usual size of guiding catheter is 6 Fr, makes it difficult to retrieve relatively bulky stent when deployment of stent fails.
We report 2 cases of stent dislodgment during transradial coronary stenting which can be successfully removed by using myocardial biopsy forcep through 8 Fr sheath. These combination could be one of the valuable methods, especially during transradial
stenting.
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KEYWORD
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