Crush technique
Coronary scaffold loss complications
What are the clinical choices available when faced with the retrieval of a dislodged and unexpanded scaffold? Does the crush technique offer a valid response and under what conditions? What is involved in the deployment of a scaffold? What are the indications and dangers in using this approach?
If a dislodged unexpanded scaffold cannot be retrieved, one alternative is to deploy a stent or scaffold at the same location and compress the dislodged scaffold against the coronary wall1. Very often this is the easiest and only solution for scaffold loss within the coronary circulation, especially when a wire cannot be passed across the scaffold. There is, however, a potential thrombosis risk with this approach.
Crush technique
Extract from The PCR Textbook: Volume II Intervention I - Part III Chapter 24: The prevention and management of complications during percutaneous coronary intervention
Illustration courtesy of Dr. Emmanouil S. Brilakis - University of Texas Southwestern Medical School, USA.
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