A 53-year-old woman presented with chest pain from a recent myocardial infarction. During a coronary angiography, her stent became damaged during unsuccessful deployment. Multiple attempts to retrieve the damaged stent directly or by pulling it with a balloon failed. While waiting for a surgeon, the physician was able to grab and extract the damaged stent using tweezers through the left radial artery approach. The radial approach allowed for extraction of the damaged stent without further circulation problems.

1. 1
Dealing with a
damaged stent
through radial
approach
Katona András
University of Szeged, Invasive Cardiology Dept.
Hungary

2. 2
Disclosure
I have no conflict of interest to declare

3. 3
History
• 53 years old woman
• Ongoing chest pain in acut myocardial
infarction (onset 3 days ago) with inferior ST
elevation
• hypertonia, COPD, GERD, gastritis,
supraglottic larynx resection due to cancer
• smoker
• “hispanic”

4. 4
Coronary angiography

5. 5
Unsuccessful direct stenting,
well known problem
Unsuccessful stent
deployment, than damage
while retrieving

6. 6
Pulled with a
ballon behind
the stent -
useless

7. Tried to pull
the
damaged
stent, but
didn’t work

8. 8
While
waiting
for the
surgeon,
grabbed
it with a
tweezers

9. 9
“the extract”

10. 10
After finishing through the
left radial artery

11. Take home message
• Radial approach is suitable for most of the
interventions
• Even complications can be treated
• Radial artery is forgiving
if managed well - no
further circulation
problems

12. Thanks for your attention
Always keep your eyes on the wire!!!