EuroPCR2026-images-93046-Importance-multimodality-imaging-coronary-interventions

Due to an accidental forward push, the stent was mechanically bent and displaced, ultimately becoming lodged at the bifurcation of the brachiocephalic trunk.The value of this case lies in the extensive search for the device using multimodality imaging, as well as the multiple retrieval techniques employed.Because of suboptimal visualisation of the stent on fluoroscopy—partly due to its elongation during the retrieval procedure—carotid ultrasonography was used to aid localisation.Various techniques were then attempted to retrieve the device, including guidewire entanglement and two different snare systems. Ultimately, the stent was successfully retrieved via the femoral artery.

 

Due to an accidental forward push, the stent was mechanically bent and displaced, ultimately becoming lodged at the bifurcation of the brachiocephalic trunk.The value of this case lies in the extensive search for the device using multimodality imaging, as well as the multiple retrieval techniques employed.Because of suboptimal visualisation of the stent on fluoroscopy—partly due to its elongation during the retrieval procedure—carotid ultrasonography was used to aid localisation.Various techniques were then attempted to retrieve the device, including guidewire entanglement and two different snare systems. Ultimately, the stent was successfully retrieved via the femoral artery.