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CASE REPORT
Year : 2018  |  Volume : 1  |  Issue : 2  |  Page : 161-165

A fortunate FEAST: Favorable embolization of an agile stent to the target vessel


1 Department of Cardiology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India
2 Department of Cardiology, Jaswant Rai Specialty Hospital, Meerut, India
3 Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Aditya Kapoor
Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IHJI.IHJI_24_18

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Dislodgement of coronary stents while performing coronary interventions is not an uncommon phenomenon. Although more frequently encountered with stents that were manually crimped, dislodgement can also occur with the newer generation, balloon-mounted stents despite their superior trackability and deliverability. We describe a case with severe right coronary artery (RCA) and obtuse marginal (OM) disease in which an initial coronary angioplasty to the RCA followed by OM was planned. The RCA was stented and while negotiating a second balloon-mounted stent across the RCA, it slipped off the balloon and initially embolized into the aortic sinuses. Subsequently and fortuitously, the stent migrated into the OM vessel and was seated right at the lesion, which needed to be stented. Using the clear cell stent boost function, the embolized stent was wired and then deployed using sequential balloon dilations.


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