{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T05:29:20Z","timestamp":1786685360089,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Percutaneous coronary stentectomy, intentional retrieval of a fully deployed coronary stent, has evolved from anecdotal salvage to a structured interventional strategy. It addresses scenarios where a deployed stent causes ongoing complications: malapposition, longitudinal deformation, or excessive aorto\u2010ostial protrusion leading to restenosis, thrombosis, or interference with structural heart interventions. We performed a narrative review of the published literature on intentional percutaneous coronary stent retrieval, supplemented by five illustrative cases from three academic centers representing acute, subacute, and late retrieval scenarios. Stentectomy was feasible across acute and late settings. Snare\u2010based retrieval through guide extension catheters was the predominant approach; stents with three or fewer inter\u2010ring connectors allowed more predictable extraction. Intravascular ultrasound was essential for procedural planning, confirmation of complete removal, and post\u2010extraction management. Drug\u2010coated balloons enabled metal\u2010free revascularization after stent removal. A novel reverse hairpin\u2010assisted snare extraction technique facilitated pre\u2010TAVR stent retrieval in one case. The Side Flap technique and stentectomy emerged as complementary strategies for managing excessive aorto\u2010ostial protrusion. Percutaneous coronary stentectomy is a feasible strategy for selected clinical scenarios, with intravascular imaging central to procedural planning and assessment. When performed with appropriate technique and Heart Team evaluation, it can address stent complications, restore coronary access, and enable metal\u2010free revascularization.<\/jats:p>","DOI":"10.1002\/ccd.70815","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T05:14:46Z","timestamp":1786684486000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous Coronary Stentectomy: Redefining Stent Failure Management in the Modern Era"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9926-5081","authenticated-orcid":false,"given":"Evandro","family":"Martins Filho","sequence":"first","affiliation":[{"name":"Harrington Heart &amp; Vascular Institute University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7284-6983","authenticated-orcid":false,"given":"Raghav","family":"Gattani","sequence":"additional","affiliation":[{"name":"Virginia Heart Falls Church Virginia USA"},{"name":"Inova Schar Heart and Vascular Institute Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7159-860X","authenticated-orcid":false,"given":"Tim A.","family":"Fischell","sequence":"additional","affiliation":[{"name":"Department of Medicine Michigan State University College of Human Medicine, and Borgess Heart Institute Kalamazoo Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6252-6708","authenticated-orcid":false,"given":"Ricardo Fonseca Oliveira Suruagy","family":"Motta","sequence":"additional","affiliation":[{"name":"University Center CESMAC, School of Medicine Macei\u00f3 Alagoas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3520-2210","authenticated-orcid":false,"given":"Marielle Rodrigues","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hospital Regional de Mato Grosso do Sul Campo Grande Mato Grosso do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6122-1397","authenticated-orcid":false,"given":"Tarana","family":"Zaman","sequence":"additional","affiliation":[{"name":"Department of Medicine Inova Fairfax Medical Campus Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4241-0230","authenticated-orcid":false,"given":"Briana","family":"Kulisch","sequence":"additional","affiliation":[{"name":"Department of Medicine Inova Fairfax Medical Campus Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6732-5438","authenticated-orcid":false,"given":"Lindsey A.","family":"Cilia","sequence":"additional","affiliation":[{"name":"Virginia Heart Falls Church Virginia USA"},{"name":"Inova Schar Heart and Vascular Institute Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9416-9701","authenticated-orcid":false,"given":"Emmanouil S.","family":"Brilakis","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute Abbott Northwestern Hospital Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5656-4401","authenticated-orcid":false,"given":"Alexander G.","family":"Truesdell","sequence":"additional","affiliation":[{"name":"Confluence Health Heart and Vascular Wenatchee Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jccase.2021.09.003"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.10.058"},{"issue":"12","key":"e_1_2_17_4_1","first-page":"637","article-title":"Stent Loss and Retrieval During Percutaneous Coronary Interventions: A Systematic Review and Meta\u2010Analysis","volume":"25","author":"Alomar M. 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