Stent dislodgment and embolization is a rare complication of coronary stenting.

There are reports of intra-coronary stent entrapment, stripping, and dislodgement

during percutaneous coronary interventions causing potentially life threatening

complications, including intra-coronary or systemic embolization. Reports of

dislodgment and migration of previously placed drug eluting intra-coronary stent

several months after deployment are very limited in the literature. We describe a

drug eluting stent dislodgment and migration in an 88 year-old male 10 months after

its deployment.

Conflict(s) of Interest


References with DOI

1. Brilakis ES, Best PJ, Elesber AA, Barsness GW, Lennon RJ, Holmes DR, Jr., et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Catheter Cardiovasc Interv. 2005;66(3):333-40. https://doi.org/10.1002/ccd.20449

2. Eggebrecht H, Haude M, von Birgelen C, Oldenburg O, Baumgart D, Herrmann J, et al. Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv. 2000;51(4):432-40. https://doi.org/10.1002/1522-726x(200012)51:43.3.co;2-t

3. Colkesen AY, Baltali M, Acil T, Tekin G, Tekin A, Erol T, et al. Coronary and systemic stent embolization during percutaneous coronary interventions: a single center experience. Int Heart J. 2007;48(2):129-36. https://doi.org/10.1536/ihj.48.129

4. Aydin M, Sayin MR. Successful coronary stent retrieval from the saphenous vein graft to right coronary artery. Case Rep Med. 2009;2009:718685. https://doi.org/10.1155/2009/718685

5. Nikolsky E, Gruberg L, Pechersky S, Kapeliovich M, Grenadier E, Amikam S, et al. Stent deployment failure: reasons, implications, and short- and long-term outcomes. Catheter Cardiovasc Interv. 2003;59(3):324-8. https://doi.org/10.1002/ccd.10543

6. Kubota T, Ishikawa T, Miyamoto T, Mutoh M. Asymptomatic migration of a sirolimus-eluting stent into the aorta. Intern Med. 2010;49(18):2021-2. https://doi.org/10.2169/internalmedicine.49.4047

7. Won KB, Kim BK, Ko YG, Hong MK, Jang Y, Shim WH. Migration of a sirolimus-eluting stent from the ostium of the left main coronary artery to the right deep femoral artery. Korean J Intern Med. 2013;28(1):116-9. https://doi.org/10.3904/kjim.2013.28.1.116

8.Haas NA, Happel CM, Jategaonkar S, Moysich A, Hanslik A, Kececioglu D, et al. Compression, distortion and dislodgement of large caliber stents in congenital heart defects caused by cardiopulmonary resuscitation: a case series and review of the literature. Clin Res Cardiol. 2014;103(9):719-25. https://doi.org/10.1007/s00392-014-0706-2

9. Laarman G, Muthusamy TS, Swart H, Westendorp I, Kiemeneij F, Slagboom T, et al. Direct coronary stent implantation: safety, feasibility, and predictors of success of the strategy of direct coronary stent implantation. Catheter Cardiovasc Interv. 2001;52(4):443-8. https://doi.org/10.1002/ccd.1099

10. Celik M, Cagdas Yuksel U, Gokoglan Y. Migration of fully deployed stent after intracoronary glyceryl trinitrate administration: An unusual percutaneous coronary intervention complication. Pak J Med Sci. 2013;29(3):863-5. https://doi.org/10.12669/pjms.293.3205

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