{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T09:36:52Z","timestamp":1786527412273,"version":"build-2736575974"},"reference-count":7,"publisher":"SMC Media","issue":"8","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Balloon angioplasty can lead to multiple complications, such as myocardial perforation and dissection of coronary arteries. Device dislodgment during percutaneous coronary intervention (PCI) is a rare but potentially life-threatening complication. Case description:\u00a0We report on a 67-year-old woman presenting with acute coronary syndrome due to in-stent restenosis of the left circumflex artery, treated with a drug-coated balloon (DCB) following lesion preparation. During DCB retrieval resistance was encountered, and angiography revealed separation of the balloon from its shaft with distal embolisation. Despite this, thrombolysis in myocardial infarction (TIMI) flow grade 3 was preserved. After multidisciplinary discussion, conservative management was chosen due to the distal location of the embolised device and risks associated with retrieval. Final angiography showed no procedural complication, and at 12-month follow-up, the patient remained asymptomatic without ischaemic or device-related events. Conclusion:\u00a0This example shows that in certain patients with intact coronary flow and no procedural complications, conservative therapy of distal DCB embolisation might be a safe and feasible strategy.<\/jats:p>","DOI":"10.12890\/2026_007251","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T10:15:00Z","timestamp":1784196900000},"source":"Crossref","is-referenced-by-count":0,"title":["Unintended distal embolisation of a drug-coated balloon during percutaneous coronary intervention: when is leaving the device in situ feasible?"],"prefix":"10.12890","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9395-3705","authenticated-orcid":false,"given":"Luai","family":"Alhazmi","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10397","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"10.12890\/2026_007251_ref1","doi-asserted-by":"crossref","unstructured":"Kheifets M, Rahat O, Bental T, Levi A, Vaknin-Assa H, Greenberg G, et al. Outcomes of drug-eluting balloons for in-stent restenosis: large cohort analysis and single-center clinical experience. Can J Cardiol 2024;40:1250\u20131257. doi: 10.1016\/j.cjca.2023.12.033","DOI":"10.1016\/j.cjca.2023.12.033"},{"key":"10.12890\/2026_007251_ref2","doi-asserted-by":"crossref","unstructured":"Brilakis ES, Best PJ, Elesber AA, Barsness GW, Lennon RJ, Holmes DR, et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Catheter Cardiovasc Interv 2005;66:333\u2013340. doi: 10.1002\/ccd.20449","DOI":"10.1002\/ccd.20449"},{"key":"10.12890\/2026_007251_ref3","doi-asserted-by":"crossref","unstructured":"Eggebrecht H, Haude M, von Birgelen C, Oldenburg O, Baumgart D, Herrmann J, et al. Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv 2000;51:432\u2013440. doi: 10.1002\/1522-726x(200012)51:4<432::aid-ccd12>3.0.co;2-1","DOI":"10.1002\/1522-726X(200012)51:4<432::AID-CCD12>3.0.CO;2-1"},{"key":"10.12890\/2026_007251_ref4","doi-asserted-by":"crossref","unstructured":"Al-Moghairi AM, Al-Amri HS. Management of retained intervention guide-wire: a literature review. Curr Cardiol Rev 2013;9:260\u2013266. doi: 10.2174\/1573403X11309030010","DOI":"10.2174\/1573403X11309030010"},{"key":"10.12890\/2026_007251_ref5","doi-asserted-by":"crossref","unstructured":"Hartzler GO, Rutherford BD, McConahay DR. Retained percutaneous transluminal coronary angioplasty equipment components and their management. Am J Cardiol 1987;60:1260\u20131264. doi: 10.1016\/0002-9149(87)90604-7","DOI":"10.1016\/0002-9149(87)90604-7"},{"key":"10.12890\/2026_007251_ref6","doi-asserted-by":"crossref","unstructured":"Alomar ME, Michael TT, Patel VG, Altomare CG, Rangan BV, Cipher D, et al. Stent loss and retrieval during percutaneous coronary interventions: a systematic review and meta-analysis. J Invasive Cardiol 2013;25:637\u2013641. doi: 10.1016\/S0735-1097(13)61649-6","DOI":"10.1016\/S0735-1097(13)61649-6"},{"key":"10.12890\/2026_007251_ref7","doi-asserted-by":"crossref","unstructured":"Jeger RV, Eccleshall S, Wan Ahmad WA, Ge J, Poerner TC, Shin ES, et al. Drug-coated balloons for coronary artery disease: third report of the International DCB Consensus Group. JACC Cardiovasc Interv 2020;13:1391\u20131402. doi: 10.1016\/j.jcin.2020.02.043","DOI":"10.1016\/j.jcin.2020.02.043"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/7251\/5868","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/7251\/5869","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/7251\/5869","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T09:03:41Z","timestamp":1786525421000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/7251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":7,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.12890\/2026_007251","relation":{"has-manifestation":[{"id-type":"other","id":"1-171-7251-g5868","asserted-by":"subject"},{"id-type":"other","id":"1-171-7251-g5869","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-171","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"value":"2284-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,15]]}}}