Stent Detachment of the Anterior Descending Branch of the Left Coronary Artery into the Ascending Aorta

Abstract

This article details the case of an 81-year-old female patient admitted to the hospital due to recurrent episodes of chest pain. During a percutaneous coronary intervention for anterior descending artery stent placement, the stent dislodged following an unexpected movement by the patient. To address this complication, we employed a multifaceted approach that included the balloon drag technique, double guidewire winding method, and a gooseneck catcher for successful retrieval of the dislodged stent. We were able to achieve recanalization of the affected vessel during the same procedure, thereby minimizing the necessity for reoperation and associated risks. This case underscores the critical importance of preventing stent dislodgement during PCI procedures and highlights the need for clinicians to maintain composure and apply appropriate management strategies when faced with unforeseen challenges. Our experience not only contributes to the existing knowledge in interventional cardiology but also provides practical insights into effective techniques for managing similar complications in the future.