The Case of Removal of Intracoronary Broken Stent Catheter’s Shaft and Its Balloon Trough Femoral Sheat During Primer PTCA

Year 2022, Volume: 9 Issue: 1, 183 - 185, 31.03.2022

Hakan Göçer Mohammed Abusharekh Ahmet Barış Durukan

https://doi.org/10.34087/cbusbed.934415

Abstract

In the time of invasive area, catheter based complications is getting more frequent and interventionist deals with this kind of complications’ management more than vascular surgeons. Regardless of complication’s nature commonly management of complications are successful and requirements of surgery are needless. But the patient stability deteriorates the time of complications especially result of intracoronary foreign bodies. Quick Removal of these foreign bodies from coronary circulation can stabilize patient condition. After that externalization of these kind remnants from patient body is the final step of successfully management of complications. . We herein present an acute inferior ST elevation myocardial infarction (MI) with hemodynamic disturbance because of total obstruction of RCA with broken stent balloon shaft. After successfully catch and removal of broken part of stent catheter, patient’s situation was going well and discharged with medical therapy shortly after intervention

Keywords

Complication, Coronary Artery Stenting, Snare

PThe Case of Removal of Intracoronary Broken Stent Catheter’s Shaft and Its Balloon Trough Femoral Sheat During Primer PTCA

Abstract

In the time of invasive area, catheter based complications is getting more frequent and interventionist deals with this kind of complications’ management more than vascular surgeons. Regardless of complication’s nature commonly management of complications are successful and requirements of surgery are needless. But the patient stability deteriorates the time of complications especially result of intracoronary foreign bodies. Quick Removal of these foreign bodies from coronary circulation can stabilize patient condition. After that externalization of these kind remnants from patient body is the final step of successfully management of complications. . We herein present an acute inferior ST elevation myocardial infarction (MI) with hemodynamic disturbance because of total obstruction of RCA with broken stent balloon shaft. After successfully catch and removal of broken part of stent catheter, patient’s situation was going well and discharged with medical therapy shortly after intervention.

Keywords

Complication, Coronary Artery Stenting, Snare

References

• 1. Mitomo S, Naganuma T, Takagi K . Comparison between plain old balloon angioplasty and drug eluting stent implantation for the treatment of stent fracture. J Interven Cardiol. 2015;28:365–373.
• 2. 4. Wani SP, Rha SW, Park JY, Poddar KL, Wang L, Ramasamy S, et al. A novel technique for retrieval of a drug-eluting stent after catheter break and stent loss. Korean Circ J. 2010;40:405–409.
• 3. Rafighdust A, Eshraghi A. Acute ST-Elevation Myocardial Infarction after Coronary Stent Fracture. J Tehran Heart Cent. 2015;10:205-207. 4. Nakazawa G, V Finn AV , Vorpahl M, Ladich E, Kutys R, Isidora Balazs I. Incidence and predictors of drug eluting stent fractures in human coronary artery: a pathologic analysis. J Am Coll Cardiol 2009;54:1924–1931.
• 5. Senior J, Guillamo MR, Ghattas A, Tapp L. Dislodged Coronary Artery Stent Retrieved With an Endovascular Snare. Tex Heart Inst J. 2020;47:213-215.
• 6. Franklyn C-A, Melanie M-F, Anthony G-M. Coronary stent embolization during percutaneous coronary intervention: Successful retrieval using twisting guide wire technique by radial approach,Journal of Cardiology Cases. 2021;23:1878-5409.