Ping-pong snaring of a totally dislodged stent across left main ostium: "All is not lost"

Catheter Cardiovasc Interv. 2023 Nov;102(5):889-891. doi: 10.1002/ccd.30833. Epub 2023 Sep 13.

Abstract

Undeployed stent loss is a rare but potentially serious complication of percutaneous coronary intervention. Its management is not assisted by well-defined guidelines, and it is made even more difficult when the dislodged stent is not protected by in situ guidewire. In this work, we present the case of a total stent loss with a crushed device protruding out of the left main. In this hopeless circumstance, an innovative ping-pong technique was used to contralaterally perform a successful stent retrieval.

Keywords: PCI; acute coronary syndrome (ACS); complications (COMI); complications adult cath/intervention (COMP); coronary artery disease (CAD).

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary*
  • Device Removal / methods
  • Humans
  • Percutaneous Coronary Intervention* / adverse effects
  • Stents
  • Treatment Outcome