Migration of a stent from left main and its retrieval from femoral artery: A case report

    loading  Checking for direct PDF access through Ovid

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.

Related Topics

    loading  Loading Related Articles