Bailout Strategy for Paclitaxel-Coated Nitinol Self-Expanding Stent Deployment Failure: The Cut and Peel Technique

Marohito Nakata; Naoko Yokota; Hiroki Uehara; Yoshimitsu Soga

doi:10.1016/j.jaccas.2023.102177

Bailout Strategy for Paclitaxel-Coated Nitinol Self-Expanding Stent Deployment Failure: The Cut and Peel Technique

JACC Case Rep. 2023 Dec 23;29(3):102177. doi: 10.1016/j.jaccas.2023.102177. eCollection 2024 Feb 7.

Authors

Marohito Nakata¹, Naoko Yokota¹, Hiroki Uehara¹, Yoshimitsu Soga²

Affiliations

¹ Department of Cardiology, Urasoe General Hospital, Urasoe City, Okinawa, Japan.
² Department of Cardiology, Kokura Memorial Hospital, Kokurakita-ku, Kitakyushu, Japan.

Abstract

The patient received endovascular therapy for a superficial femoral artery occlusion. Placement of a SMART stent distal to the lesion was successful, but deployment issues occurred with the Innova stent, requiring forceful retraction and causing elongation. The "cut and peel technique" was developed as a bailout strategy for such cases.

Keywords: aged; angiography; bailout; peripheral artery disease; stents.

Publication types

Case Reports