Literature DB >> 30279841

Dog-bone inflation to salvage and redeploy a deformed, dislodged expandable stent in the external iliac artery.

Wen-Jung Chung1,2, Yasuaki Takeji1, Yoshimitsu Soga1, Kenji Ando1.   

Abstract

A 64-year-old man with a history of right external iliac artery stenosis after stenting with a self-expandable stent was admitted for repetitive in-stent restenosis (ISR). To treat ISR, we selected a balloon expandable stent (BES) that was prepared with negative suction before being inserted into the sheath. BES dislodged when the stent balloon was incompletely inflated and was simultaneously deformed in a funnel shape. When BES was retrieved using a short noncompliant balloon, it dislodged again because of an imbalanced proximal inflation of the balloon. We finally retrieved BES using a long noncompliant balloon and deployed it with dog-bone inflation without any additional devices. <Learning objective: To report an easy method for retrieving and redeploying a deformed, dislodged stent without using an additional device. Retrieving a relatively large peripheral stent that becomes deformed and dislodged is difficult and may require surgery. Balloon catheter retrieval is a useful strategy to salvage and redeploy the dislodged stent. However, a large size short noncompliant balloon catheter had the risk for dislodging the retrieved deformed stent again. To retrieve and salvage a deformed and dislodged stent, a long balloon and dog-bone inflation may be useful.>.

Entities:  

Keywords:  Balloon expandable stent; Endovascular intervention; Peripheral artery disease; Stent dislodgement; Stent retrieval

Year:  2017        PMID: 30279841      PMCID: PMC6149551          DOI: 10.1016/j.jccase.2017.07.006

Source DB:  PubMed          Journal:  J Cardiol Cases        ISSN: 1878-5409


  6 in total

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Journal:  Catheter Cardiovasc Interv       Date:  2000-01       Impact factor: 2.692

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Journal:  Cardiovasc Intervent Radiol       Date:  1992 Mar-Apr       Impact factor: 2.740

3.  Retrieval of a detached partially expanded stent using the SpideRX and EnSnare devices--a first report.

Authors:  Farrukh Hussain; Barry Rusnak; James Tam
Journal:  J Invasive Cardiol       Date:  2008-02       Impact factor: 2.022

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Authors:  M B Cishek; L Laslett; G Gershony
Journal:  Cathet Cardiovasc Diagn       Date:  1995-04

5.  Endovascular foreign body retrieval.

Authors:  Megan I Carroll; Sadaf S Ahanchi; Jung H Kim; Jean M Panneton
Journal:  J Vasc Surg       Date:  2012-10-13       Impact factor: 4.268

6.  Surgical removal of a stent entrapped in the left main coronary artery.

Authors:  J Fukada; K Morishita; H Satou; C Shiiku; T Koshino; T Abe
Journal:  Ann Thorac Cardiovasc Surg       Date:  1998-06       Impact factor: 1.520

  6 in total
  1 in total

1.  Coronary stent embolization during percutaneous coronary intervention: Successful retrieval using twisting guide wire technique by radial approach.

Authors:  Franklyn Colón-Arias; Melanie Moronta-Franco; Anthony Gutiérrez-Martínez
Journal:  J Cardiol Cases       Date:  2021-02-08
  1 in total

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