Dataset Information
Migration of a stent from left main and its retrieval from femoral artery: A case report.
Ontology highlight
ABSTRACT: Rationale
Embolization of a deployed stent is a rare complication and its mechanism remains unclear in most cases.Patient concerns
A 52-year-old man underwent coronary angiography for effort angina, revealing an 80% stenosis of the proximal left anterior descending (LAD) involving the distal left main (LM). After luminal sizing with intravascular ultrasound two drug-eluting stents were deployed (5.0?×?12?mm and 3.5?×?15?mm) to cover the LM-LAD lesion. After postdilatation, the proximal stent had disappeared from the LM.Diagnoses
The missing stent was found in the right deep femoral artery.Interventions
A new 5.0?×?15?mm stent was deployed onto the LM-LAD ostium, in overlapping with the previously implanted. Then, the stent migrated to the deep femoral artery was successfully retieved through the contralateral femoral artery.Outcomes
The patient was discharged 2 days later, after an uneventful hospital stay.Lessons
Stent deformation after postdilation is a possible causes of stent migration.
SUBMITTER: Yasuda M
PROVIDER: S-EPMC5815796 | biostudies-literature | 2017 Dec
REPOSITORIES: biostudies-literature
Publications
Migration of a stent from left main and its retrieval from femoral artery: A case report.
Medicine 20171201 50
<h4>Rationale</h4>Embolization of a deployed stent is a rare complication and its mechanism remains unclear in most cases.<h4>Patient concerns</h4>A 52-year-old man underwent coronary angiography for effort angina, revealing an 80% stenosis of the proximal left anterior descending (LAD) involving the distal left main (LM). After luminal sizing with intravascular ultrasound two drug-eluting stents were deployed (5.0 × 12 mm and 3.5 × 15 mm) to cover the LM-LAD lesion. After postdilatation, the pr ...[more]