Accidental stent deployment in aorta.

Authors

  • Akhtar Ali Bandeshah Pakistan Institute of Medical Sciences (PIMS), Islamabad-Pakistan.
  • Muhammad Omer Hashmi Pakistan Institute of Medical Sciences (PIMS), Islamabad-Pakistan.

Keywords:

Stent, Stent Dislocation, PTCA Complications, Aorto-Ostial, Geographic Miss.

Abstract

Introduction: Unintentional stent migration into the aorta during percutaneous coronary intervention (PCI) presents an uncommon yet demanding scenario. This case report delves into a complex situation where such an incident occurred.

Case Presentation: A patient presented a distinct case involving inadvertent stent migration into the aorta during a complex PCI. To address the issue, the MINICRUSH technique was employed. The case's complexities underscored the need for a strategic approach, and the significance of precise procedural execution was apparent. The procedural intricacies and challenges of managing iatrogenic aorto-ostial coronary lesions are detailed.

Management & Results: The patient's condition was effectively managed using the MINICRUSH technique. This involved strategic stent crushing in the mid left anterior descending artery (LAD)/diagonal 1 (D1) segment, successfully resolving the complication. The execution of the MINICRUSH approach demonstrated its efficacy in tackling complex challenges arising from stent migration into the aorta. The accurate positioning of the stent played a crucial role in achieving optimal clinical outcomes.

Conclusion: This report highlights the successful use of the MINICRUSH technique to manage inadvertent stent migration into the aorta during complex PCI, emphasizing precise procedural execution and stent placement's significance.

References

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Published

2023-09-04

How to Cite

Bandeshah , A. A., & Hashmi , M. O. (2023). Accidental stent deployment in aorta. Cathalogue, 1(1), 07–12. Retrieved from https://pjcvi.com/index.php/Cathalogue/article/view/57

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Section

Articles