Rare Ostial RCA Stent Dislodgement: Abrupt Occlusion, Hemodynamic Collapse & PCI Rescue.
Abdrhman Hamo
9,908 views
Cath Lab Nightmare:
Rare Ostial RCA Stent Dislodgement Causing Abrupt Vessel Occlusion & Sudden Hemodynamic Collapse — Step-by-Step Bailout Strategy With Stunning Final Outcome.
Description:
A rare and high-risk cath lab complication during PCI involving ostial RCA stent dislodgement leading to abrupt coronary occlusion, severe ischemia, ST elevation, and sudden hemodynamic compromise.
This educational interventional cardiology case demonstrates:
• Rapid recognition of stent loss and vessel closure
• Hemodynamic deterioration management
• Step-by-step bailout strategy in a complex PCI scenario
• Techniques used to regain coronary flow and stabilize the patient
• Final angiographic result with successful salvage outcome
An important learning case for interventional cardiologists, fellows, cath lab staff, and anyone interested in complex coronary interventions and complication management.
#InterventionalCardiology #PCI #CathLab #STEMI #RCA #CoronaryIntervention #Cardiology #Angioplasty #Stent #ComplicationManagement
16 Comments
Nice final result
Thanks for sharing
When the first stent was dislodged, was it hanging outside the vessel in to the aorta ?
What could have caused the dislodgement of the stent? You mentioned you prepared the RCA till mid with schockwave, lack of preparation maybe? Was the guideliner 6F?
Rare Ostial RCA Stent Dislodgement: Abrupt Occlusion, Hemodynamic Collapse & PCI Rescue.
Abdrhman Hamo
9,908 views
Cath Lab Nightmare:
Rare Ostial RCA Stent Dislodgement Causing Abrupt Vessel Occlusion & Sudden Hemodynamic Collapse — Step-by-Step Bailout Strategy With Stunning Final Outcome.
Description:
A rare and high-risk cath lab complication during PCI involving ostial RCA stent dislodgement leading to abrupt coronary occlusion, severe ischemia, ST elevation, and sudden hemodynamic compromise.
This educational interventional cardiology case demonstrates:
• Rapid recognition of stent loss and vessel closure
• Hemodynamic deterioration management
• Step-by-step bailout strategy in a complex PCI scenario
• Techniques used to regain coronary flow and stabilize the patient
• Final angiographic result with successful salvage outcome
An important learning case for interventional cardiologists, fellows, cath lab staff, and anyone interested in complex coronary interventions and complication management.
#InterventionalCardiology #PCI #CathLab #STEMI #RCA #CoronaryIntervention #Cardiology #Angioplasty #Stent #ComplicationManagement