Int J Angiol 2011; 20(1): 055-058
DOI: 10.1055/s-0031-1272547
CASE REPORT

© Thieme Medical Publishers

Successful Retrieval of a Coronary Stent Dislodged in the Brachial Artery by Means of Improvised Snare and Guiding Catheter

Spyridon Deftereos1 , Konstantinos Raisakis1 , Georgios Giannopoulos1 , Charalampos Kossyvakis1 , Loukas Pappas1 , Andreas Kaoukis1
  • 1Department of Cardiology, Athens General Hospital “G. Gennimatas,” Athens, Greece
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Publikationsverlauf

Publikationsdatum:
14. März 2011 (online)

ABSTRACT

This is a case report regarding the retrieval, by means of an improvised snare and guiding catheter, of a stent dislodged in the brachial artery during a transradial coronary intervention. A full-length guiding catheter could not be used to approach the lost stent, which was a mere 30 to 35 cm away from the sheath insertion site at the radial artery, and a commercial snare was not available at the time. Thus, we had to improvise a shortened guiding catheter and a snare, which was formed by folding an angioplasty Whisper guide wire (Abbott Laboratories, Abbott Park, IL) and was used successfully to snare the stent and retrieve it.

REFERENCES

  • 1 Brilakis E S, Best P J, Elesber A A et al.. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience.  Catheter Cardiovasc Interv. 2005;  66 333-340
  • 2 Yang Soon C, Chong E, Sangiorgi G M. A challenging case of dislodged stent retrieval with the use of Goose neck snare kit.  Catheter Cardiovasc Interv. 2010;  75 630-633
  • 3 Ahmar W, Malaiapan Y, Meredith I T. Transradial retrieval of a dislodged stent from the left main coronary artery.  J Invasive Cardiol. 2008;  20 545-547

Georgios GiannopoulosM.D. 

154 Mesogeion Avenue

Athens, Greece

eMail: ggiann@med.uoa.gr