Stent loss during chronic total occlusion percutaneous coronary intervention: optical coherence tomography-guided stent ‘crushing and trapping

Stent loss is currently an infrequent complication during percutaneous coronary intervention (PCI) [1]. However, it can have devastating consequences, including stent thrombosis, myocardial infarction and death [2]. Here we describe a case of stent loss during chronic total occlusion (CTO) PCI that was successfully managed by meticulous optical coherence tomography (OCT)-guided stent crushing and trapping. We additionally review the incidence and possible mechanisms of stent loss during PCI, and provide a set of recommendations to manage such complication.

Source: Cardiovascular Revascularization Medicine - March 20, 2017 Category: Cardiology Authors: Luciano Candilio, Satoru Mitomo, Mauro Carlino, Antonio Colombo, Lorenzo Azzalini Source Type: research