cardiovascular-agents and Foreign-Body-Migration

Our case reports the first migration of a stent already deployed at high pressure in the main vessel during a 2-stent strategy for a bifurcation lesion using T and protrusion technique. The Kissing balloon was not optimal and could have led to an insufficient strut/cell opening and then to LAD stent pulled back into the artery tree. This case report highlights the importance of an optimal Kissing Balloon in two stent bifurcation technique.

Topics: Angioplasty, Balloon, Coronary; Cardiovascular Agents; Coronary Angiography; Coronary Artery Disease; Device Removal; Drug-Eluting Stents; Everolimus; Foreign-Body Migration; Humans; Male; Middle Aged; Sirolimus; Treatment Outcome

Topics: Aged; Cardiovascular Agents; Drug-Eluting Stents; Femoral Artery; Foreign-Body Migration; Humans; Male; Percutaneous Coronary Intervention; Prosthesis Design; Radiography; Sirolimus; Ultrasonography, Interventional

Intravascular ultrasonography (IVUS) has been widely used in percutaneous coronary artery interventions to ensure optimal stent expansion. Entrapment of the IVUS catheter is potentially lethal. We report a case of successful emergent surgical removal of an entrapped catheter within the sirolimus-eluting stent and coronary revascularization.

Topics: Angioplasty, Balloon, Coronary; Cardiopulmonary Bypass; Cardiovascular Agents; Catheters; Coronary Angiography; Coronary Artery Bypass; Device Removal; Drug-Eluting Stents; Equipment Design; Foreign-Body Migration; Humans; Male; Middle Aged; Myocardial Infarction; Prosthesis Design; Sirolimus; Treatment Outcome; Ultrasonography, Interventional

Topics: Angioplasty, Balloon, Coronary; Cardiovascular Agents; Coronary Angiography; Coronary Stenosis; Drug-Eluting Stents; Foreign-Body Migration; Humans; Male; Middle Aged; Prosthesis Design; Prosthesis Failure; Severity of Illness Index; Sirolimus; Stress, Mechanical; Tomography, X-Ray Computed