Percutaneous Retrieval of an Intracardiac Migrated Nitinol Stent with Endovascular Biopsy Forceps - Abstract
Intracardiac stent migration is a rare but potentially fatal complication of endovascular stenting. A patient was referred for right brachiocephalic vein stenting for dialysis access venous stenosis. The stent migrated to right atrium upon deployment. Stent extraction was attempted with gooseneck snares but failed. Two endovascular biopsy forceps were then introduced and fractured the stent into two parts for removal. The patient was stable during the procedure and was subsequently discharged. No adverse cardiovascular event occurred. This case report demonstrates the usefulness of the strong gripping capability of endovascular forceps to retrieve a migrated stent that could not be approached by snare technique.