Aggarwal Vivek Prakash, Malik Amit, Gupta S K
Department of Cardiology, Indraprastha Apollo Hospitals, New Delhi, India.
Indian Heart J. 2009 Jan-Feb;61(1):115-6.
A self expendable Nitinol stent was accidently maldeployed when precise positioning was being done in a pre dilated 100% occluded left subclavian artery. A significant part of stent was hanging into the arch of aorta necessitating removal of stent either surgically or percutaneously. The fully expanded stent was successfully retrieved with the help of Acu-snare and long 8F sheath without any injury or dissection of aorta or iliac artery. After retrieval of stent, the culprit lesion was stented with another self expendable stent in the same sitting with good end result.
一个自膨胀镍钛诺支架在对预先扩张的完全闭塞的左锁骨下动脉进行精确定位时意外放置不当。支架的很大一部分垂入主动脉弓，需要通过手术或经皮方式取出支架。借助Acu-snare和8F长鞘成功取出了完全展开的支架，主动脉或髂动脉未受到任何损伤或剥离。取出支架后，在同一次手术中用另一个自膨胀支架对罪犯病变进行了支架植入，最终结果良好。
