A 53-year-old male was admitted to our department for unstable angina. Coronary angiography showed a subocclusive stenosis in the ostial-proximal tract of an intermediate branch in the context of a left dominance system. We proceeded with an ad hoc percutaneous coronary intervention considering this intermediate branch lesion in the setting of a bifurcation (Medina 0,0,1), where the proximal and distal main branches were represented by the left main and left anterior descending (LAD) arteries, respectively. After pre-dilation of the intermediate branch lesion, we advanced a "safety balloon" in order to protect the LAD branch and, simultaneously, we deployed a 3.0/22 mm drug-eluting stent in the intermediate branch. After in-stent post-dilation, we felt a strong resistance during the guidewire removal from the LAD indicating a wire entrapment. After a vigorous traction of the jailed guidewire, we observed the accidental removal of the just deployed stent from the guiding catheter. We re-advanced a guidewire on the LAD and a 3.25/23 mm drug-eluting stent was successfully implanted on the intermediate branch. We briefly discuss the occurred complication and some technical aspects regarding this case.

[Coronary wire entrapment and unintended extraction of a just deployed stent] / Talanas, Giuseppe; Siciliano, Roberta; Canonico, Mario Enrico; Parodi, Guido. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1972-6481. - 21:11(2020), pp. 58-59. [10.1714/3487.34674]

[Coronary wire entrapment and unintended extraction of a just deployed stent]

Siciliano, Roberta;Canonico, Mario Enrico;Parodi, Guido
2020-01-01

Abstract

A 53-year-old male was admitted to our department for unstable angina. Coronary angiography showed a subocclusive stenosis in the ostial-proximal tract of an intermediate branch in the context of a left dominance system. We proceeded with an ad hoc percutaneous coronary intervention considering this intermediate branch lesion in the setting of a bifurcation (Medina 0,0,1), where the proximal and distal main branches were represented by the left main and left anterior descending (LAD) arteries, respectively. After pre-dilation of the intermediate branch lesion, we advanced a "safety balloon" in order to protect the LAD branch and, simultaneously, we deployed a 3.0/22 mm drug-eluting stent in the intermediate branch. After in-stent post-dilation, we felt a strong resistance during the guidewire removal from the LAD indicating a wire entrapment. After a vigorous traction of the jailed guidewire, we observed the accidental removal of the just deployed stent from the guiding catheter. We re-advanced a guidewire on the LAD and a 3.25/23 mm drug-eluting stent was successfully implanted on the intermediate branch. We briefly discuss the occurred complication and some technical aspects regarding this case.
2020
[Coronary wire entrapment and unintended extraction of a just deployed stent] / Talanas, Giuseppe; Siciliano, Roberta; Canonico, Mario Enrico; Parodi, Guido. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1972-6481. - 21:11(2020), pp. 58-59. [10.1714/3487.34674]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/240503
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