Wire Entanglement to Retrieve Dislodged Stent From the Proximal RCA (From the Journal of Invasive Cardiology)
Basavanna Dinesh, MD, DM; Yamasandi Siddegowda Shrimanth, MD, DM; Aditha Cibi, MD; Kanchanahalli Siddegowda Sadananda, MD, DM; Snehal Jayarama, MD, DrNB; Khandenahally Shankarappa Ravindranath, MD, DM.
From the 1Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Mysuru, India; 2Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.
Disclosures: The authors report no financial relationships or conflicts of interest regarding the content herein.
Address: Yamasandi Siddegowda Shrimanth, MD, DM, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Mysuru 570016, India. Email: shrimanthys@gmail.com
This case is reprinted with permission from J INVASIVE CARDIOL 2024;36(8).
Click HERE to view the original case in full.
Figure. (A) Coronary angiogram in left anterior oblique view showing diffuse lesion causing 90% stenosis in the mid-right coronary artery (RCA), followed by distal cut off. (B) Fluoroscopy image showing dislodged coronary stent in the proximal portion of RCA (circle) just distal to the guiding catheter. (C) A 2 x 10-mm balloon failed to cross the stent due to crumpling of the dislodged stent because of the guide-induced trauma. (D) Multiple wires were passed distal to the stent (indicated by numbers). (E) Photograph showing the retrieved stent; 3 wires have passed through the lumen of the stent and fourth wire (arrow) has passed through the struts of the stent. (F) Final angiographic result after successful stent deployment.
