Document Detail

Two-stent telescoping technique for securing an atrially embolized venous stent.
MedLine Citation:
PMID:  20814059     Owner:  NLM     Status:  MEDLINE    
Coronary sinus stenosis or atresia is a rare problem in congenital heart disease. It is sometimes associated with ventricular dysfunction. In this setting, relief of the obstruction may improve myocardial perfusion and contractility. During percutaneous stent deployment within the coronary sinus, distal embolization of the stent into the atrial chambers occurred. The patient had double inlet left ventricle, severe ventricular dysfunction, interrupted IVC, mechanical aortic valve, and a Fontan circulation. The intervention was performed as a rescue procedure prior to transplantation referral. In this report we describe use of telescoping technique, i.e., deploying the distal end of a long stent within the embolized stent while traversing its proximal end across the stenosed coronary sinus ostium. This secured the embolized stent and at the same time relieved the coronary sinus stenosis.
Sreekanth Narsupalli; Zaheer Ahmad; Gruschen Veldtman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  22     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-03     Completed Date:  2011-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E168-70     Citation Subset:  IM    
Wessex Congenital Cardiac Centre, Southampton General Hospital, Southampton, United Kingdom.
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MeSH Terms
Angina Pectoris / radiography,  therapy
Angioplasty, Balloon, Coronary*
Aortic Valve Stenosis / radiography,  therapy*
Coronary Angiography
Coronary Sinus / radiography
Dextrocardia / complications,  surgery
Foreign-Body Migration / radiography,  therapy*
Genetic Diseases, X-Linked / complications,  surgery
Heart Defects, Congenital / complications*,  surgery
Situs Inversus / complications,  surgery
Stents / adverse effects*
Young Adult

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