TITLE:
Stripping of a Newly Deployed Coronary Stent during Manual Thrombectomy: A Cautionary Case
AUTHORS:
Sana Gupta, Akshaya Sri Kalavakunta, Nadia Sayyed, Mustafeez Ur Rahman, Nikky Bardia, Veera Pavan Kotaru
KEYWORDS:
Percutaneous Coronary Intervention, Aspiration Thrombectomy, Stent Stripping
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.15 No.5,
May
18,
2026
ABSTRACT: A 54-year-old male with hypertension and hyperlipidemia presented with an anterior ST-elevation myocardial infarction (STEMI) due to a mid-left anterior descending (LAD) artery occlusion. Following the deployment of a drug-eluting stent (DES), persistent distal thrombus prompted manual aspiration thrombectomy. During withdrawal of the Pronto® V4 catheter, the device entangled and stripped the newly deployed stent, pulling it into the guide catheter. The complication was managed by retrieving the deformed stent and successfully placing two rescue stents. This case underscores the risks of aspiration thrombectomy through fresh stents which carries a significant risk of mechanical stripping. Extreme caution during advancement and withdrawal of these catheters can mitigate the risk.