Complications of Stent Loss During Treatment of a Heavily Calcified and Tortuous Chronic Total Occlusion

Spyridon Kostantinis; Judit Karacsonyi; Bahadir Simsek; Emmanouil S Brilakis

doi:10.1016/j.carrev.2021.11.013

Complications of Stent Loss During Treatment of a Heavily Calcified and Tortuous Chronic Total Occlusion

Cardiovasc Revasc Med. 2022 Jul:40S:293-297. doi: 10.1016/j.carrev.2021.11.013. Epub 2021 Nov 11.

Authors

Spyridon Kostantinis¹, Judit Karacsonyi¹, Bahadir Simsek¹, Emmanouil S Brilakis²

Affiliations

¹ Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA.
² Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA. Electronic address: esbrilakis@gmail.com.

PMID: 34857472
DOI: 10.1016/j.carrev.2021.11.013

Abstract

Stent loss can occur during percutaneous coronary interventions (PCIs) and can lead to complications such as coronary occlusion, perforation or dissection. Stent retrieval is often attempted but may lead to additional complications. We describe a case of stent loss during chronic total occlusion PCI. The small balloon technique failed to retrieve the stent. The stent was snared but could still not be removed. Retrieval attempts were complicated by large vessel perforation. A covered stent was deployed covering the lost stent and successfully sealing the perforation.

Keywords: Chronic total occlusion; Complications; Percutaneous coronary intervention; Stent loss.

Publication types

Case Reports

MeSH terms

Coronary Angiography
Coronary Occlusion* / diagnostic imaging
Coronary Occlusion* / etiology
Coronary Occlusion* / therapy
Humans
Percutaneous Coronary Intervention* / adverse effects
Stents
Treatment Outcome