Rare Complication in The Coronary Angiography Laboratory: Stent Stripping

Objective & Hypothesis:Although foreign body embolization is a rare complication of percutaneous coronary intervention, the increase in the number of procedures results in this problem being more frequently encountered by interventional cardiologists.

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Key Findings & Data:Contemporary case studies have reported the rate of stent stripping to be below 1%.

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Conclusion & Impact:In this article, we present a case of left main coronary artery stent stripping; we discuss the removal procedure and the complications that arose.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Although foreign body embolization is a rare complication of percutaneous coronary intervention, the increase in the number of procedures results in this problem being more frequently encountered by interventional cardiologists. Contemporary case studies have reported the rate of stent stripping to be below 1%. Interventional cardiologists attend to a considerable number of cases in everyday practice and witness a diverse spectrum of complications. Stent stripping can result in severe complications such as emergency coronary bypass surgery, coronary thrombosis, myocardial infarction, cerebrovascular event and death. Thus, the proper management of stent stripping is important for reducing the risk of mortality and morbidity. In this article, we present a case of left main coronary artery stent stripping; we discuss the removal procedure and the complications that arose.

Özet

Yabancı cisim embolizasyonu, perkütan koroner girişimin nadir bir komplikasyonu olmasına rağmen, işlem sayısının artması, bu sorunun girişimsel kardiyologlar tarafından daha sık karşılaşılmasına neden olmaktadır. Son yapılan vaka çalışmaları, stent sıyırma oranının % 1'in altında olduğunu bildirmiştir. Girişimsel kardiyologlar, günlük pratikte önemli sayıda vakayla ilgilenir ve çok çeşitli komplikasyonlarla karşı karşıya kalır. Stentin sıyrılması, acil koroner baypas cerrahisi, koroner tromboz, miyokardiyal enfarktüs, serebrovasküler olay ve ölüm gibi ciddi komplikasyonlara neden olabilir. Bu nedenle, stent sıyırlmasının doğru yönetimi, mortalite ve morbidite riskini azaltmak için önemlidir. Bu vaka da sol ana koroner arterde stentinin sıyrılma olgusunu sunuyoruz; sıyrılan stentin kaldırma prosedürünü ve ortaya çıkan komplikasyonları tartışıyoruz.

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Cite This Article

Alsancak, Y., Gurbuz, A. S., Duzenli, M. A., Sari, H., Soylu, S. (2022). Rare Complication in The Coronary Angiography Laboratory: Stent Stripping. Selçuk Tıp Dergisi, Cilt: 37 - Sayı: 3, 279–282. https://ajindex.com/articles/591783

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References (8)

Brilakis ES, Best PJM, Elesber AA, et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention. Cathet Cardiovasc Interv 2005;65: 333-40.
Schatz R, Baim D, Leon M, et al. Clinical experience with the Palmaz-Schatz coronary stent. Initial results of a multi-center study. Circulation 1991;83:148-61.
Johnson LW, Esente P, Giambartolomei A, et al. Peripheral vascular complications of coronary angioplasty by the femoral and brachial techniques. Cathet Cardiovasc Diagn 1994;31:165-72.
Mehmet I, Ömer T, Yüksel D, et al. Gradual treatment of arteriovenous fistula in femoral vessels as a complication of coronary angiography. Braz J Cardiovasc Surg 2018;33(6):631-3.
Emmanouil S, Brilakis MD, Patricia JM. et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: A large single-center experience. Cardiovasc Interv 2005;66(3):333-40.
Eggebrecht H, Haude M, von Birgelen C, et al. Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv 2000;51(4):432-40.
Değirmenci H, Bakırcı EM. Koroner stent sıyrılmasına yaklaşım. MN Kardiyoloji 2018;25(2):87-92.
Mustafa Y, Nesim A, Yalin TY. Successful transcatheter retrieval of the embolized coronary stent during primary percutaneous coronary intervention. J Med Cases 2016;7(10):417-9.