Department of Radiology, Division of Neurointerventional Radiology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Department of Radiology, Division of Neurointerventional Radiology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA
BMJ Case Rep. 2023 Nov 8;16(11):e257501. doi: 10.1136/bcr-2023-257501.
Coronary stent dislodgement and migration is a rare phenomenon that can potentially result in life-threatening complications. We encountered the unusual case of a coronary artery stent that stripped from its delivery balloon and embolised into the left internal carotid artery during percutaneous coronary intervention. Such an event is a stressful experience for the interventional cardiologist but also an uncommonly encountered situation for a neurointerventionalist whose expertise may be sought to help navigate the situation. Planning the interventional approach and taking into consideration the tools available as well as potential complications is crucial to maximise the chances of best possible outcome for the patient. We were able to retrieve the stent safely and successfully, but, at the same time, we were prepared to manage any adverse events in the best way possible.
冠状动脉支架移位和迁移是一种罕见的现象,可能导致危及生命的并发症。我们遇到了一个不寻常的病例,在经皮冠状动脉介入治疗过程中,冠状动脉支架从其输送球囊上剥离,并栓塞到左颈内动脉。这种情况对介入心脏病专家来说是一种压力很大的经历,但对神经介入专家来说也是一种罕见的情况,可能需要他们的专业知识来帮助处理这种情况。规划介入方法并考虑可用的工具以及潜在的并发症对于最大限度地提高患者的最佳治疗效果至关重要。我们能够安全、成功地取出支架,但同时,我们也做好了应对任何不良事件的准备。