Percutaneous Stentectomy: Extraordinary Problems Require Extraordinary Solutions
Recommended Citation
Nakhle A, Zakhour S, Abdou A, Lai K, Lee J, Aronow H, Koenig G, Alqarqaz M, Aggarwal V, Alaswad K. Percutaneous Stentectomy: Extraordinary Problems Require Extraordinary Solutions. JACC Case Rep. 2026;31(31):108749.
Document Type
Article
Publication Date
8-5-2026
Publication Title
JACC Case Rep
Abstract
BACKGROUND: An 89-year-old woman was referred for transcatheter aortic valve replacement (TAVR). She had a history of ostial right coronary artery stent that was protruding into the aorta with the risk of interaction with the TAVR prosthesis.
CASE SUMMARY: Using femoral arterial access, a Goose Neck snare was advanced and captured the overhanging part of the stent. The stent was successfully retrieved, followed by restenting of the ostial right coronary artery with intravascular ultrasound guidance.
DISCUSSION: There are only a few case reports of percutaneous removal of deployed stents, whether accidentally or intentionally. Intentional removal of deployed stent is feared given the possibility of severe complications, and most patients who require such intervention are referred to surgery.
TAKE-HOME MESSAGES: Percutaneous removal of protruding coronary stents is technically feasible. This case demonstrates that snare-based retrieval is a practical solution when aorto-ostial stent protrusion threatens both coronary and structural interventions.
PubMed ID
42283678
ePublication
ePub ahead of print
Volume
31
Issue
31
First Page
108749
Last Page
108749
