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.
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