Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-26T11:03:49.626Z Has data issue: false hasContentIssue false

Bioptome-assisted stent repositioning in the case of stent migration during balloon-expandable stenting for coarctation of the aorta

Published online by Cambridge University Press:  11 June 2021

Neeraj Awasthy*
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Max Hospital, Saket, Delhi, India
Dinesh Bisht
Affiliation:
Department of Pediatric Cardiology and Congenital Heart Disease, Max Hospital, Saket, Delhi, India
*
Author for correspondence: Neeraj Awasthy, Department of Pediatric Cardiology, a204, Palam Apartment sector 5 plot number 7, Dwarka, Delhi, India. Tel: 09811962775/07827480870; Fax: +9'1-11-26510050. E-mail: [email protected]

Abstract

Coarctation of aorta is commonly treated with endovascular interventions such as coarctation stenting. Migration of stent is the most dreaded complication of coarctation stenting. A 60-year-old lady with severe malaligned coarctation underwent endovascular stent placement. The expanded stent migrated to proximal aorta, which could be stabilized with a bioptome, re-positioned with a balloon and postdilated to its optimal size, resulting in a good outcome.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Godart, F. Intravascular stenting for the treatment of coarctation of the aorta in adolescent and adult patients. Arch Cardiovasc Dis 2011; 104: 627635. doi: 10.1016/j.acvd.2011.08.005.CrossRefGoogle ScholarPubMed
Ovaert, C, Benson, L, Nykanen, D et al. Transcatheter treatment of coarctation of the aorta: a review. Pediatr Cardiol 1998; 19: 2744. doi: 10.1007/s002469900243.CrossRefGoogle ScholarPubMed
Lock, JE, Keane, JF, Fellows, KE. The use of catheter intervention procedures for congenital heart disease. J Am Coll Cardiol 1986; 7: 14201423.CrossRefGoogle ScholarPubMed
Moltzer, E, Ouhlous, M, Hesselink, JWS, Bogers, AJJC, Witsenburg, M. Proximal aortic stent migration. Neth Heart J 2013; 21: 517519.CrossRefGoogle ScholarPubMed
Ghazi, P, Zenali, AHJ. Management of stent dislodgment in coarctoplasty with three overlapping self expanding Nitinol stents. Hellenic J Cardiol 2010; 51: 264266.Google Scholar
Kannan, BR, Srinivasan, M. Stent migration during transcatheter management of coarctation of aorta. Catheter Cardiovasc Interv 2012; 79: 408413.CrossRefGoogle ScholarPubMed
Forbes, TJ, Gowda, ST. Intravascular stent therapy for coarctation of the aorta. Methodist Debakey Cardiovasc J 2014; 10: 8287. doi: 10.14797/mdcj-10-2-82.CrossRefGoogle ScholarPubMed

Awasthy and Bisht supplementary material

Awasthy and Bisht supplementary material 1

Download Awasthy and Bisht supplementary material(Video)
Video 523.9 KB

Awasthy and Bisht supplementary material

Awasthy and Bisht supplementary material 2

Download Awasthy and Bisht supplementary material(Video)
Video 997.2 KB

Awasthy and Bisht supplementary material

Awasthy and Bisht supplementary material 3

Download Awasthy and Bisht supplementary material(Video)
Video 585.4 KB

Awasthy and Bisht supplementary material

Awasthy and Bisht supplementary material 4

Download Awasthy and Bisht supplementary material(Video)
Video 502.6 KB