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Strategies for Retrieving Embolized Coronary Stents During Percutaneous Coronary Intervention
Sydney Millis
Pavankumar Venkatesan
其他書名
A Methodological Exploration
出版
Weber State University
, 2023
URL
http://books.google.com.hk/books?id=biIl0QEACAAJ&hl=&source=gbs_api
註釋
Over the years, the occurrence of coronary stent embolization has significantly decreased making it a rarity. However, it still occurs and research must be conducted to determine the optimal retrieval and treatment techniques. This qualitative study includes a systematic review of 12 case studies exploring the various methods of retrieving embolized or lost stents. Out of the 12 case studies, 10 were male and 2 were female. The majority of participants were over the age of 50 with most of them undergoing elective PCI. The most common and successful retrieval technique used was the snare technique, followed by the crushing technique, which has been emerging. Stent loss was most common in the right coronary artery, followed by the circumflex artery. Additional investigation should be conducted to examine the relative efficacy of different methods, which could result in the creation of standardized processes or standards for particular situations. Quality assurance methods should also be considered to evaluate stent retrieval processes and help achieve optimal patient outcomes. This can involve regular assessments of cases, results, and adherence to set procedures to guarantee that best practices are always followed. Because stent embolization is a rare occurrence with new stent technology, stent retrieval techniques are not often well studied or discussed. Physicians may lack awareness on the various options for embolized stent retrieval and treatment are imperative for positive patient outcomes.