Speciality Medical Dialogues
    • facebook
    • twitter
    Login Register
    • facebook
    • twitter
    Login Register
    • Medical Dialogues
    • Education Dialogues
    • Business Dialogues
    • Medical Jobs
    • Medical Matrimony
    • MD Brand Connect
    Speciality Medical Dialogues
    • Editorial
    • News
        • Anesthesiology
        • Cancer
        • Cardiac Sciences
        • Critical Care
        • Dentistry
        • Dermatology
        • Diabetes and Endo
        • Diagnostics
        • ENT
        • Featured Research
        • Gastroenterology
        • Geriatrics
        • Medicine
        • Nephrology
        • Neurosciences
        • Nursing
        • Obs and Gynae
        • Ophthalmology
        • Orthopaedics
        • Paediatrics
        • Parmedics
        • Pharmacy
        • Psychiatry
        • Pulmonology
        • Radiology
        • Surgery
        • Urology
    • Practice Guidelines
        • Anesthesiology Guidelines
        • Cancer Guidelines
        • Cardiac Sciences Guidelines
        • Critical Care Guidelines
        • Dentistry Guidelines
        • Dermatology Guidelines
        • Diabetes and Endo Guidelines
        • Diagnostics Guidelines
        • ENT Guidelines
        • Featured Practice Guidelines
        • Gastroenterology Guidelines
        • Geriatrics Guidelines
        • Medicine Guidelines
        • Nephrology Guidelines
        • Neurosciences Guidelines
        • Obs and Gynae Guidelines
        • Ophthalmology Guidelines
        • Orthopaedics Guidelines
        • Paediatrics Guidelines
        • Psychiatry Guidelines
        • Pulmonology Guidelines
        • Radiology Guidelines
        • Surgery Guidelines
        • Urology Guidelines
    LoginRegister
    Speciality Medical Dialogues
    LoginRegister
    • Home
    • Editorial
    • News
      • Anesthesiology
      • Cancer
      • Cardiac Sciences
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endo
      • Diagnostics
      • ENT
      • Featured Research
      • Gastroenterology
      • Geriatrics
      • Medicine
      • Nephrology
      • Neurosciences
      • Nursing
      • Obs and Gynae
      • Ophthalmology
      • Orthopaedics
      • Paediatrics
      • Parmedics
      • Pharmacy
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
    • Practice Guidelines
      • Anesthesiology Guidelines
      • Cancer Guidelines
      • Cardiac Sciences Guidelines
      • Critical Care Guidelines
      • Dentistry Guidelines
      • Dermatology Guidelines
      • Diabetes and Endo Guidelines
      • Diagnostics Guidelines
      • ENT Guidelines
      • Featured Practice Guidelines
      • Gastroenterology Guidelines
      • Geriatrics Guidelines
      • Medicine Guidelines
      • Nephrology Guidelines
      • Neurosciences Guidelines
      • Obs and Gynae Guidelines
      • Ophthalmology Guidelines
      • Orthopaedics Guidelines
      • Paediatrics Guidelines
      • Psychiatry Guidelines
      • Pulmonology Guidelines
      • Radiology Guidelines
      • Surgery Guidelines
      • Urology Guidelines
    • Home
    • India Live 2018
    • Special Indigenous...

    Special Indigenous Technique for Stent Retreival by Dr Sunil Gurmukhani

    Written by Medical Dialogues Bureau Published On 2018-02-28T15:15:48+05:30  |  Updated On 28 Feb 2018 3:15 PM IST
    Special Indigenous Technique for Stent Retreival by Dr Sunil Gurmukhani

    Cathlab complications are the inevitable part of interventional cardiologist’s life, every interventional cardiologist eventually has to face one or other complication. Here, we are presenting one of the unique complication happening in the cath lab and the way, how we came out of it.


    61-year-old man presented to our institute with acute lateral wall myocardial infarction. His selective coronary angiogram showed total occlusion of good size major diagonal & significant stenosis of mid LAD. We decided to open up the diagonal and do stenting of both LAD & diagonal lesion. A 6-Fr extra-backup guide catheter was used to cannulate LCA and after adequate pre-dilatation of the culprit diagonal lesion, a 2.5 x 15 mm DES was placed across the lesion. During stent deployment, the patient had a bout of severe coughing & the stent got inflated in LMCA. It was 2.5 mm diameter stent floating in the 4.5 mm diameter LMCA over the coronary wire.


    Patient started complaining of worsening chest pain.A 4.0 x 12 mm non-compliant balloon catheter was carefully introduced over coronary wire beyond the floating stent. Balloon was inflated at 4 bars and the whole assembly was gently pulled back out of LCA. Under fluoroscopic guidance, we pulled the whole assembly upto the junction of brachial and radial artery, here we encountered the resistance to further pull back. We removed the balloon catheter and contrast injection revealed a distorted stented segment hanging on a coronary wire at the brachial radial junction. We could successfully cross the embolized stent with snare & hold coronary wire in snare.


    Then coronary wire & snare were pulled together from radial artery & sheath to remove the embolized stent in vitro.After successful removal of the embolized stent, we cannulated LCA again to successfully finish PCI of culprit diagonal and LAD segments. Before removing everything we did the optical coherence tomography (OCT) to confirm no damage to LMCA.


    This complication taught us so many thing, most important is keep ones nerve intact while handling such emergency , think about all the possible bail out option and choose the best approach in terms of safety of patient and last but not the least is,“exit with peace”.


    By- Dr.Sunil Gurmukhani


    brachialcardiologistCathlab complicationscoronarycoronary angiogramDr Sunil GurmukhanifluoroscopicInterventional CardiologistOptical Coherence Tomographyradial arterystenosisSunil Gurmukhani

    Disclaimer: This site is primarily intended for healthcare professionals. Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription. Use of this site is subject to our terms of use, privacy policy, advertisement policy. © 2020 Minerva Medical Treatment Pvt Ltd

    Medical Dialogues Bureau
    Medical Dialogues Bureau
      Show Full Article
      Next Story
      Similar Posts
      NO DATA FOUND

      • Email: info@medicaldialogues.in
      • Phone: 011 - 4372 0751

      Website Last Updated On : 12 Oct 2022 7:06 AM GMT
      Company
      • About Us
      • Contact Us
      • Our Team
      • Reach our Editor
      • Feedback
      • Submit Article
      Ads & Legal
      • Advertise
      • Advertise Policy
      • Terms and Conditions
      • Privacy Policy
      • Editorial Policy
      • Comments Policy
      • Disclamier
      Medical Dialogues is health news portal designed to update medical and healthcare professionals but does not limit/block other interested parties from accessing our general health content. The health content on Medical Dialogues and its subdomains is created and/or edited by our expert team, that includes doctors, healthcare researchers and scientific writers, who review all medical information to keep them in line with the latest evidence-based medical information and accepted health guidelines by established medical organisations of the world.

      Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription.Use of this site is subject to our terms of use, privacy policy, advertisement policy. You can check out disclaimers here. © 2025 Minerva Medical Treatment Pvt Ltd

      © 2025 - Medical Dialogues. All Rights Reserved.
      Powered By: Hocalwire
      X
      We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok