A Novel Approach to a Case of Stent Embolization during a Primary PCI
DOI:
https://doi.org/10.12970/2311-052X.2014.02.02.1Keywords:
Stent embolization, Primary PCI, Filter wire.Abstract
A 60 year old smoker male presented with acute anterior ST elevation Myocardial Infarction (STEMI) and underwent primary percutaneous coronary intervention (PCI). Thrombus aspiration to a totally occluded proximal LAD (Left Anterior Descending artery)/D1 (first diagonal branch) revealed complex bifurcation disease. PCI complicated by unexpected stent embolization to first obtuse marginal (OM1) branch. After successful revascularization to the D1 branch, different approaches initially failed to retrieve the embolised stent in the OM1 branch. Finally the stent was successfully retrieved using a Filter Wire catheter. To our knowledge this is the first case to retrieve an embolised stent using the filter wire.
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