Successful retrieval of an entrapped coronary stent with its delivery system by small balloon dilatation at the entrapped site: A case report  Takashi.

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Successful retrieval of an entrapped coronary stent with its delivery system by small balloon dilatation at the entrapped site: A case report  Takashi Mizuki, Toshihiko Kubo, Koshin Horimoto, Hidenori Matsusaka, Toshiaki Ashihara  Journal of Indian College of Cardiology  Volume 5, Issue 1, Pages 67-70 (March 2015) DOI: 10.1016/j.jicc.2014.07.002 Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 1 Coronary angiogram of the right coronary artery showing a 90% stenosis (arrow) at the distal edge of the previously placed Cypher 3.0 × 18 mm stent and a 75% stenosis (arrowhead) in the middle of the Cypher stent. AP cranial view. Journal of Indian College of Cardiology 2015 5, 67-70DOI: (10.1016/j.jicc.2014.07.002) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 2 With the strong backup force of the 7-Fr JR 3.5 guiding catheter and the buddy wire technique, we attempted to deploy the Promus 3.0 × 23 mm stent. However, the Promus stent was stuck at the proximal edge of the previously placed Cypher 3.0 × 18 mm stent with its proximal half placed in the guiding catheter. There were two guide wires (Marker Pro and Grand Slam) in the right coronary artery. Journal of Indian College of Cardiology 2015 5, 67-70DOI: (10.1016/j.jicc.2014.07.002) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 3 Schematic presentation of the stuck stent with its delivery system retrieval with a simple balloon technique. A: Before the procedure. The Promus catheter was locked at the proximal edge of the previously placed Cypher stent. B: After the procedure. A 1.3-mm balloon (Lacrosse LAXA 1.3 × 10 mm) was inserted beside the stuck stent through the SION blue guide wire. By dilating this small balloon, the locking point was dislodged and the stuck Promus stent with its delivery system was successfully retrieved into the guiding catheter. Journal of Indian College of Cardiology 2015 5, 67-70DOI: (10.1016/j.jicc.2014.07.002) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 4 Final angiogram after another Promus stent implantation showed no residual stenosis and no damage at the stent entrapment site. LAO cranial view. Journal of Indian College of Cardiology 2015 5, 67-70DOI: (10.1016/j.jicc.2014.07.002) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 5 The retrieved Promus 3.0 × 23 mm stent showed a broken strut at its distal tip, but it still maintained a firm connection to the delivery balloon. Journal of Indian College of Cardiology 2015 5, 67-70DOI: (10.1016/j.jicc.2014.07.002) Copyright © 2014 Indian College of Cardiology Terms and Conditions