Left main stenting with stent dislodgement and entrapment in the common femoral artery: a successful transcatheter stent retrieval.

• Type of Material: Article
• Authors: Obiora Egbuche, Ohio State University; Kenechukwu N Mezue, Massachusetts General Hospital Boston; Shirley I Nwokike, Medical College of Georgia Augusta, GA, USA.; Temidayo Abe, Morehouse School of Medicine Atlanta, GA, USA.; Titilope Olanipekun, Covenant Health System Knoxville, TN, USA.; Ifeoma Onuorah, Emory University; Carter Tharpe, Navicent Health Medical Center Macon, GA, USA.
• Language: English
• Date: 2021
• Publisher: Emory University Libraries
• Publication Version: Final Published Version
• Copyright Statement: © 2021 AJCD
• License: Creative Commons Attribution-NonCommercial 4.0 International
• Title of Journal or Parent Work: Am J Cardiovasc Dis
• Volume: 11
• Issue: 3
• Start Page: 421
• End Page: 428
• Keywords: stent dislodgement; transcatheter retrieval; entrapment; CABG; Left main stenting
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

Proximal left main stenting in symptomatic patients with flow-limiting stenosis is an alternative revascularization strategy in individuals with low syntax score and high operative risk. Stent dislodgement is associated with adverse cardiovascular events and retrieval of fully deployed stents is generally prohibited as it increases the risk of severe complications. Stent dislodgement and entrapment in the femoral vascular system occur infrequently during percutaneous coronary interventions. In this report, we illustrate a prompt and safe transcatheter technique to successfully retrieve an expanded and dislodged coronary stent entrapped in the common femoral artery without need for a more invasive surgical approach.