Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Case Report

Volume 9, Number 1, February 2018, pages 63-67

Acute Stent Loss and Its Retrieval of a Long, Tapering Morph Stent in a Tortuous, Calcified Lesion

Figures

Figure 1.
Figure 1. Angiogram showing diffuse, tortuous, calcified narrowing (90% stenosis) in left circumflex (LCx) coronary artery (a: AP caudal view; b: LAO caudal view).
Figure 2.
Figure 2. Lesion was sequentially predilated with multiple balloon at 10 - 15 atm pressure (a, b).
Figure 3.
Figure 3. Morph stent failed to cross the lesion leading to backing of guide catheter (a). Embolized stent visible in right common femoral artery (b).
Figure 4.
Figure 4. Embolized stent further moving down to deep femoral artery (a, b). Judkins right (JR) guiding catheter was carefully parked in right deep femoral artery (b, c).
Figure 5.
Figure 5. Embolized stent being trapped and retrieved (a, b). Whole assembly: stent-snare-guiding catheter was pulled back under fluoroscopic surveillance (c, d).
Figure 6.
Figure 6. Sheath was firmly holded with left hand and whole assembly was successfully pulled out (a, c, c, and d).
Figure 7.
Figure 7. Retrieved stent snared by EN snare (a, b).
Figure 8.
Figure 8. Rewiring of LCx and successful stenting with 3 - 2.5 × 60 mm Morph stent following aggressive predilatation by bigger balloon (a, b, c).