Work

Finding Safe Haven for a Migrated Left Main Coronary Stent

Year: 2025

Type: article

Abstract: We describe a case of left main stem (LMS) stent dislodgement and embolization over the guide catheter after an intravascular ultrasound-guided percutaneous coronary intervention to an LMS osteal stenosis. After the initial intravascular ultrasound-guided assessment, the patient underwent percutaneous coronary intervention with 2 overlapping drug-eluting stents. After post-dilation, it was observed that the proximal LMS stent had migrated over the guide catheter proximally and dislodged from its original deployment in the LMS. A 6.0-mm balloon was inflated at the distal end of the guide catheter to prevent stent embolization. The catheter was carefully retrieved until the brachial artery, where the preexpanded stent diameter prevented further retrieval. It was eventually deployed with no immediate complications.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2024.103172

Authors: Azhar Farooqui, Omar Bajmmal, Mohsin Farooq, Javed Ehtisham, Ibrahim Antoun

Institutions: Kettering General Hospital, Kettering General Hospital NHS Trust, University of Leicester

Language: English

Topic: Coronary Interventions and Diagnostics

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850