Successful coronary stent retrieval from the ascending aorta using a gooseneck snare kit

Korean J Intern Med. 2013 Jul;28(4):481-5. doi: 10.3904/kjim.2013.28.4.481. Epub 2013 Jul 1.

Abstract

Coronary stent dislodgement is a rare complication of percutaneous coronary intervention. We report a case of stent dislodgement in the ascending thoracic aorta. The stent was mechanically distorted in the left circumflex artery (LCX) while being delivered to the proximal LCX lesion. The balloon catheter was withdrawn, but the stent with the guide wire was remained in the ascending thoracic aorta. The stent was unable to be retrieved into the guide catheter, as it was distorted. A goose neck snare was used successfully to catch the stent in the ascending thoracic aorta and retrieved the stent externally via the arterial sheath.

Keywords: Percutaneous coronary intervention; Stent dislodgement; Stent retrieval.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / instrumentation*
  • Aorta, Thoracic* / diagnostic imaging
  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / instrumentation*
  • Coronary Angiography
  • Device Removal / instrumentation*
  • Foreign Bodies / diagnostic imaging
  • Foreign Bodies / etiology
  • Foreign Bodies / therapy*
  • Humans
  • Male
  • Middle Aged
  • Radiography, Interventional
  • Stents*
  • Treatment Outcome