Successful PROMUS Stent Retrieval through Radial Access Site

Authors

  • Javed Jalbani National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Naveedullah Khan National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Faisal Ahmed National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Sobia Masood National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Musa Karim National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Muhammad Hashim National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.

Keywords:

Stent, Retrieval, Transradial, NICVD, CAD, Calcified Lesion, Crushed Stent.

Abstract

Background: Stent dislodgment is a rare but catastrophic complication of percutaneous coronary interventions. In this era of innovation and minimalist approach, successful trans-radial retrieval of dislodged stents and other scaffolds remains a significant challenge because of the small artery, small sheath and catheter sizes, multiple resistance points at acute turns, looped angulations, and curves.

Case presentation: A case of dislodged 4.0 x 12mm EES Promus (Boston scientific) in left circumflex coronary artery due to a calcified lesion.

Management and Results: We successfully retrieved the same assembly with two twisted run-through floppy wires and a 1.5 x 06mm Euphora balloon through the same right radial access site.

Conclusion: It can be safely retrieved through Radial Access points.

References

Yader Sandoval, Malcolm R. Bell, Rajiv Gulati. Transradial Artery Access Complications. Circulation: Cardiovascular Interventions. 2019;12:e007386

Brilakis ES, Best PJ, Elesber AA, Barsness GW, Lennon RJ, Holmes Jr DR, Rihal CS, Garratt KN. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: A large single‐center experience. Catheter Cardiovasc Interv. 2005; 66(3): 333-340.

Topol EJ, Teirstein PS. Textbook of interventional cardiology E-Book. Elsevier Health Sciences; 2015.

Bolte J, Neumann U, Pfafferott C, Vogt A, Engel HJ, Mehmel HC, von Olshausen KE. Incidence, management, and outcome of stent loss during intracoronary stenting. Am J Cardiol. 2001; 88(5): 565-567.

Alomar ME, Michael TT, Patel VG, Altomare CG, Rangan BV, Cipher D, Banerjee S, Brilakis ES. Stent loss and retrieval during percutaneous coronary interventions: a systematic review and meta-analysis. J Invasive Cardiol. 2013; 25(12): 637-641.

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Published

01-12-2021

How to Cite

Jalbani, J., Khan, N., Ahmed, F., Masood, S., Karim, M., & Hashim, M. (2021). Successful PROMUS Stent Retrieval through Radial Access Site. Pakistan Journal of Cardiovascular Interventions, 1(1), 24–29. Retrieved from https://www.pjcvi.com/index.php/home/article/view/15

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