Successful PROMUS Stent Retrieval through Radial Access Site
Keywords:Stent, Retrieval, Transradial, NICVD, CAD, Calcified Lesion, Crushed Stent.
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.
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