Successful Percutaneous Coronary Intervention of the Target Lesion with the Lost Stent

Abstract

The loss of a stent during percutaneous coronary intervention (PCI) is a rare complication of the procedure. Multiple manoeuvres for the stent extraction exist, using a small balloon being a common one (2). This case report demonstrates the loss of stent in the proximal segment of the RCA whose extraction attempt with a small size SCB failed. The SCB was unable to cross through the stent and kept pushing the stent distally up until the target location where it successfully crossed through the stent. Subsequent dilatation with larger size balloons achieved full stent expansion at the target location.

Keywords

• PCI (percutaneous coronary intervention)
• Drug eluting stent (DES)
• Right coronary artery (RCA)
• Semi-compliant balloon (SCB)
• Non -compliant balloon (NCB)