| CASE REPORT |
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| Year : 2023 | Volume
: 24
| Issue : 3 | Page : 157-159 |
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Slippage of an undeployed stent in the left main artery: A case report study
Abdelaziz Ahmed Abdelaziz1, Ahmed Maher Abo Taleb2
1 Department of Cardiology, Teachers Hospital, Cairo, Egypt
2 Department of Cardiology, Cairo University, Cairo, Egypt
Correspondence Address:
Dr. Abdelaziz Ahmed Abdelaziz
Teachers Hospital, Mahmoud Mokhtar Street, Zamalek, Cairo
Egypt
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/heartviews.heartviews_120_22
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Advances in stent design and technology have made stent loss during percutaneous coronary interventions rare. When an undeployed stent dislodges in the left main (LM) artery during percutaneous coronary angioplasty, the risk of life-threatening procedural complications is high. We report a 50-year-old male patient, a smoker, with a history of diabetes mellitus and hypertension with typical chest pain on minimal exertion. Electrocardiogram and echo revealed ischemic changes and regional wall motion abnormality. Culotte technique was used. A new 3 mm × 48 mm stent was inserted in the LM-left circumflex (LM-LCX) followed by stenting of the LM-left anterior descending (LM-LAD) ostia with a 3.5 mm × 18 mm stent. The two balloons were rewired and kissed. Stent slippage and dislodging in the LM artery can be corrected using the culotte technique to crush the undeployed stent behind the LM-LCX and LM-LAD stents.
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