Successful PROMUS Stent Retrieval through Radial Access Site.

Abstract

Background: Stent dislodgment is a rare but catastrophic complication of percutaneous coronary interventions. In this era of innovation and minimalist approach, successful trans-radial retrieval of dislodged stents and other scaffolds remains a significant challenge because of the small artery, small sheath and catheter sizes, multiple resistance points at acute turns, looped angulations, and curves.

Case presentation: A case of dislodged 4.0 x 12mm EES Promus (Boston scientific) in left circumflex coronary artery due to a calcified lesion.

Management and Results: We successfully retrieved the same assembly with two twisted run-through floppy wires and a 1.5 x 06mm Euphora balloon through the same right radial access site.

Conclusion: It can be safely retrieved through Radial Access points.