Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea.
Korean Circ J. 2010 Aug;40(8):405-9. doi: 10.4070/kcj.2010.40.8.405. Epub 2010 Aug 31.
Break of a stent delivery catheter and subsequent stent loss (SL) has been a rare event in the drug-eluting stent (DES) era. We here report a case of successful retrieval of a stent after a break if the delivery catheter and SL from a balloon catheter at a culprit lesion. We finally resolved this situation using a simple balloon technique for both the broken stent catheter inside of the guide catheter and the unexpanded stent in the culprit lesion. Thus balloons are an important weapon in our armamentarium in the cardiac catheterization laboratory for urgent retrieval of a lost stent. Their apt use definitely allowed our patient to avoid undergoing emergency cardiovascular thoracic surgery.
在药物洗脱支架(DES)时代,支架输送导管断裂和随后的支架丢失(SL)是一种罕见的事件。我们在此报告一例在罪犯病变处使用球囊导管成功取出断裂的支架输送导管和 SL 的病例。我们最终使用一种简单的球囊技术解决了这一问题,即将导引导管内的断裂支架输送导管和罪犯病变处未扩张的支架一起取出。因此,球囊是我们在心脏导管实验室中用于紧急取回丢失支架的重要武器。它们的正确使用确实使我们的患者避免了紧急心血管胸外科手术。