However, as we were getting it out of the sheath, the stent embolized to the right popliteal artery. We successfully snared the stent out of the left main. Distal to the stent we inflated a 1.2 X 8 mm Mini Trek balloon and tried to withdraw the stent out.ħ The distal end of the stent got stuck on the guide and again went back to the left main. The stent catheter was removed but the stent was stripped at the distal end of the guideliner. Stent (Xience) did not cross the mid LAD stenosis Guideliner was used for additional support. (LIMA to LAD, SVG to OM1 and SVG to acute marginal)Ħ PTCA of the mid left anterior descending was performed. LCx: 90% stenosis in the mid portion and 100% occlusion of OM1 at the ostium. Immediately after the second diagonal there was 100% occlusion of the LAD. 80% stenosis of the mid LAD before it gives off the second diagonal. LAD: 70% stenosis in the proximal and ostial portion. One of the options in such a case is to “preload” the stent into the guideliner outside the guide catheter.ĥ Coronary angiography Left Main Coronary Artery had mild disease. This could happen at both ends of the guideliner and caution should be exercised when entering or exiting the device. This is especially the case if there was a prior attempt at stent deployment since the stent could be distorted by the initial attempt. However it is important to keep in mind that the inner diameter is smaller than the guide catheter and hence there is a chance of stent stripping. Cardiac markers were negative.Ĥ The guideliner catheter offers extra support and assists in stent delivery. Off-Label: Use of a balloon catheter to try to retrieve a dislodged stent.ģ Case 1: 59Y/O Caucasian gentleman with h/o of coronary artery disease S/P CABG(x3) in 2005, Stents to proximal and mid RCA in 20 as well as mid LAD in 2012 presented with symptoms of unstable angina. I/we have no real or apparent conflicts of interest to report. Nagajothi, MD zulqarnain, MD Satti, MD Duffy, MD Malosky, MD Aultman Health foudation canton medical educatino canton, ohio Presentation on theme: "Guideliner related stent stripping"- Presentation transcript:
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