{"id":{"repo_id":"rosario","oai_identifier":"oai:repository.urosario.edu.co:10336/44951"},"canonical_url":"https://search.dev.ndltd.org/etd/rosario/oai:repository.urosario.edu.co:10336/44951","repository":{"repo_id":"rosario","name":"Universidad del Rosario","base_url":"https://repository.urosario.edu.co/oai/request"},"display":{"title":"Retrieving a Stent Navigating Deep Complications","abstract":"OBJECTIVE The authors describe a case of an infrequent complication of percutaneous coronary intervention in a patient with acute ST-segment elevation myocardial infarction and discuss considerations for its prevention, recognition, and treatment. KEY STEPS Diagnostic coronary angiography confirmed an acute total occlusion of the proximal right coronary artery. Angioplasty and stenting were performed without complications. A second stent was advanced to treat a distal lesion. During the advancement, stent dislodgement from the guidewire, with entrapment in the struts of the previously placed stent and migration to the proximal aorta, was identified. A multisnare device was used for stent retrieval, with embolization to the right femoral artery during the process. POTENTIAL PITFALLS Operators should be aware of this potential complication and its management techniques. Stent dislodgement and migration should be rapidly identified and addressed because these adverse events can lead to embolization, thrombosis, and vascular damage. (JACC Case Rep. 2025;30:103098) © 2025 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).","abstract_html":"OBJECTIVE The authors describe a case of an infrequent complication of percutaneous coronary intervention in a patient with acute ST-segment elevation myocardial infarction and discuss considerations for its prevention, recognition, and treatment. KEY STEPS Diagnostic coronary angiography confirmed an acute total occlusion of the proximal right coronary artery. Angioplasty and stenting were performed without complications. A second stent was advanced to treat a distal lesion. During the advancement, stent dislodgement from the guidewire, with entrapment in the struts of the previously placed stent and migration to the proximal aorta, was identified. A multisnare device was used for stent retrieval, with embolization to the right femoral artery during the process. POTENTIAL PITFALLS Operators should be aware of this potential complication and its management techniques. Stent dislodgement and migration should be rapidly identified and addressed because these adverse events can lead to embolization, thrombosis, and vascular damage. (JACC Case Rep. 2025;30:103098) © 2025 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).","abstract_has_math":false,"creators":["Giraldo, Luis E.","Meza, Yilmar","Ochoa, Andrés","Manzur-Barbur, María Carolina","Ariza-Ordoñez, Nicolas","Herrera, Angela","Echeverri, Dario","Cabrales, Jaime"],"institution":"Universidad del Rosario","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024-12-05","date_published":"2024-12-05","updated_at":"2026-07-27T20:46:59Z","subjects":["Arteria Coronaria Derecha (RCA)","Intervención Coronaria Percutánea (PCI)"],"languages":["spa"],"rights":["info:eu-repo/semantics/openAccess"],"rights_urls":["http://creativecommons.org/licenses/by-nc-sa/4.0/"],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.urosario.edu.co/handle/10336/44951"],"render_values":[{"text":"https://repository.urosario.edu.co/handle/10336/44951","href":"https://repository.urosario.edu.co/handle/10336/44951","code":true}]}]},"links":{"outbound_url":"https://doi.org/10.1016/j.jaccas.2024.103098","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Giraldo, Luis E.","Meza, Yilmar","Ochoa, Andrés","Manzur-Barbur, María Carolina","Ariza-Ordoñez, Nicolas","Herrera, Angela","Echeverri, Dario","Cabrales, Jaime"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2024-12-05","2025-02-07T21:40:31Z"]},{"key":"dc:publisher","label":"Institution","values":["Universidad del Rosario","Escuela de Medicina y Ciencias de la Salud","Especialización en Cardiología Intervencionista y Hemodinámia"]},{"key":"dc:type","label":"Dc Type","values":["info:eu-repo/semantics/masterThesis","info:eu-repo/semantics/acceptedVersion"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Arteria Coronaria Derecha (RCA)","Intervención Coronaria Percutánea (PCI)"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["spa"]},{"key":"dc:rights","label":"Dc Rights","values":["info:eu-repo/semantics/openAccess","http://creativecommons.org/licenses/by-nc-sa/4.0/"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://doi.org/10.1016/j.jaccas.2024.103098","https://repository.urosario.edu.co/handle/10336/44951"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["OBJECTIVE The authors describe a case of an infrequent complication of percutaneous coronary intervention in a patient with acute ST-segment elevation myocardial infarction and discuss considerations for its prevention, recognition, and treatment. KEY STEPS Diagnostic coronary angiography confirmed an acute total occlusion of the proximal right coronary artery. Angioplasty and stenting were performed without complications. A second stent was advanced to treat a distal lesion. During the advancement, stent dislodgement from the guidewire, with entrapment in the struts of the previously placed stent and migration to the proximal aorta, was identified. A multisnare device was used for stent retrieval, with embolization to the right femoral artery during the process. POTENTIAL PITFALLS Operators should be aware of this potential complication and its management techniques. Stent dislodgement and migration should be rapidly identified and addressed because these adverse events can lead to embolization, thrombosis, and vascular damage. (JACC Case Rep. 2025;30:103098) © 2025 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)."]},{"key":"dc:format","label":"Dc Format","values":["4 pp","application/pdf"]},{"key":"dc:source","label":"Dc Source","values":["Alomar ME, Michael TT, Patel VG, et al. Stent loss and retrieval during percutaneous coronary interventions: a systematic review and meta-analysis. 2013. Accessed September 1, 2024. https://www. hmpgloballearningnetwork.com/site/jic/articles/ stent-los","Candilio L, Mitomo S, Carlino M, Colombo A, Azzalini L. Stent loss during chronic total occlusion percutaneous coronary intervention: optical coherence tomography-guided stent “crushing and trapping.’’. Cardiovasc Revasc Med. 2017;18:531–534.","Khashan A, Talib S, Hamouda M, et al. Coronary artery stent dislodgement and loss in the bloodstream: a case report and management options. Am J Case Rep. 2022;23:e937598-1–e937598-4.","Can Y, Kocayigit _ I, Aksoy M. Incidence, treatment options and outcomes of stent loss during percutaneous coronary intervention: a single-center experience. Sakarya Med J. 2020;10(4):565–571.","Malik SA, Brilakis ES, Pompili V, Chatzizisis YS. Lost and found: coronary stent retrieval and review of literature. Cath Cardiovasc Intervent. 2018;92(1):50–53.","Brilakis ES, Best PJM, Elesber AA, et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Cath Cardiovasc Intervent. 2005;66(3):333–340","Siani A, Siani LM, Mounayergi F, Baldassarre E. Lower limb ischemia after migration of a coronary artery stent into the femoral artery. Interact Cardiovasc Thorac Surg. 2008;7(3):447–448.","Saleh L, Movahed MR. Successful conservative treatment of an undeployed embolized intracoronary stent with dual antiplatelet and warfarin therapy. Exp Clin Cardiol. 2010;15(3): e70–e72.","Doll JA, Hira RS, Kearney KE, et al. Management of percutaneous coronary intervention complications. Circ Cardiovasc Interv. 2020;13(6):1–10.","instname:Universidad del Rosario","reponame:Repositorio Institucional EdocUR"]},{"key":"dc:title","label":"Title","values":["Retrieving a Stent Navigating Deep Complications","Recuperar un stent Cómo superar las complicaciones profundas"]}]}],"canonical_facts":{"dc:creator":["Giraldo, Luis E.","Meza, Yilmar","Ochoa, Andrés","Manzur-Barbur, María Carolina","Ariza-Ordoñez, Nicolas","Herrera, Angela","Echeverri, Dario","Cabrales, Jaime"],"dc:date":["2024-12-05","2025-02-07T21:40:31Z"],"dc:description":["OBJECTIVE The authors describe a case of an infrequent complication of percutaneous coronary intervention in a patient with acute ST-segment elevation myocardial infarction and discuss considerations for its prevention, recognition, and treatment. KEY STEPS Diagnostic coronary angiography confirmed an acute total occlusion of the proximal right coronary artery. Angioplasty and stenting were performed without complications. A second stent was advanced to treat a distal lesion. During the advancement, stent dislodgement from the guidewire, with entrapment in the struts of the previously placed stent and migration to the proximal aorta, was identified. A multisnare device was used for stent retrieval, with embolization to the right femoral artery during the process. POTENTIAL PITFALLS Operators should be aware of this potential complication and its management techniques. Stent dislodgement and migration should be rapidly identified and addressed because these adverse events can lead to embolization, thrombosis, and vascular damage. (JACC Case Rep. 2025;30:103098) © 2025 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)."],"dc:format":["4 pp","application/pdf"],"dc:identifier":["https://doi.org/10.1016/j.jaccas.2024.103098","https://repository.urosario.edu.co/handle/10336/44951"],"dc:language":["spa"],"dc:publisher":["Universidad del Rosario","Escuela de Medicina y Ciencias de la Salud","Especialización en Cardiología Intervencionista y Hemodinámia"],"dc:rights":["info:eu-repo/semantics/openAccess","http://creativecommons.org/licenses/by-nc-sa/4.0/"],"dc:source":["Alomar ME, Michael TT, Patel VG, et al. Stent loss and retrieval during percutaneous coronary interventions: a systematic review and meta-analysis. 2013. Accessed September 1, 2024. https://www. hmpgloballearningnetwork.com/site/jic/articles/ stent-los","Candilio L, Mitomo S, Carlino M, Colombo A, Azzalini L. Stent loss during chronic total occlusion percutaneous coronary intervention: optical coherence tomography-guided stent “crushing and trapping.’’. Cardiovasc Revasc Med. 2017;18:531–534.","Khashan A, Talib S, Hamouda M, et al. Coronary artery stent dislodgement and loss in the bloodstream: a case report and management options. Am J Case Rep. 2022;23:e937598-1–e937598-4.","Can Y, Kocayigit _ I, Aksoy M. Incidence, treatment options and outcomes of stent loss during percutaneous coronary intervention: a single-center experience. Sakarya Med J. 2020;10(4):565–571.","Malik SA, Brilakis ES, Pompili V, Chatzizisis YS. Lost and found: coronary stent retrieval and review of literature. Cath Cardiovasc Intervent. 2018;92(1):50–53.","Brilakis ES, Best PJM, Elesber AA, et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Cath Cardiovasc Intervent. 2005;66(3):333–340","Siani A, Siani LM, Mounayergi F, Baldassarre E. Lower limb ischemia after migration of a coronary artery stent into the femoral artery. Interact Cardiovasc Thorac Surg. 2008;7(3):447–448.","Saleh L, Movahed MR. Successful conservative treatment of an undeployed embolized intracoronary stent with dual antiplatelet and warfarin therapy. Exp Clin Cardiol. 2010;15(3): e70–e72.","Doll JA, Hira RS, Kearney KE, et al. Management of percutaneous coronary intervention complications. Circ Cardiovasc Interv. 2020;13(6):1–10.","instname:Universidad del Rosario","reponame:Repositorio Institucional EdocUR"],"dc:subject":["Arteria Coronaria Derecha (RCA)","Intervención Coronaria Percutánea (PCI)"],"dc:title":["Retrieving a Stent Navigating Deep Complications","Recuperar un stent Cómo superar las complicaciones profundas"],"dc:type":["info:eu-repo/semantics/masterThesis","info:eu-repo/semantics/acceptedVersion"]},"updated_at":"2026-07-27T20:46:59Z"}