Hadžibegović Irzal, Jurin Ivana, Šipić Tomislav, Pavlov Marin, Pavlović Nikola, Udovičić Mario
Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb.
Faculty of Dental Medicine and Healthcare, Josip Juraj Strossmayer University, Osijek, Croatia.
Acta Clin Croat. 2024 Mar;63(Suppl1):9-13. doi: 10.20471/acc.2024.63.s1.1.
Coronary stent dislodgement with migration and/or embolization is a relatively rare complication of percutaneous coronary intervention. In case of stent dislodgement or embolization in the coronary artery without the coronary wire passing through the dislodged stent, retrieval with a snare device is often the safest and the most effective procedure. We report a rare case of coronary stent dislodgement in the culprit right coronary artery, its migration and embolization in the left coronary artery, and successful retrieval with a short single-loop snare through a shortened guiding catheter.
冠状动脉支架移位伴迁移和/或栓塞是经皮冠状动脉介入治疗相对罕见的并发症。如果冠状动脉内发生支架移位或栓塞，而冠状动脉导丝未穿过移位的支架，使用圈套器进行取出通常是最安全、最有效的方法。我们报告了一例罕见的病例，罪犯病变位于右冠状动脉，发生支架移位，迁移至左冠状动脉并发生栓塞，通过缩短的引导导管使用短单环圈套器成功取出。
