Figure 4.

Retrieval of malpositioned stent. (A) A balloon-expandable stent was placed for a severe stenosis at the left bronchial anastomosis. During stent deployment, the stent was inadvertently displaced medially (“watermelon seeded”) from the stenosis into the donor mainstem bronchus proximal to the level of the anastomosis (arrows). (B) A balloon was expanded within the stent to immobilize the stent and facilitate capture with a snare. (C) An Amplatz snare (Microvena, Great Bear Lake, MN) was placed around the balloon and stent. (D) The balloon was deflated and the snare tightened around the stent. (E) The stent was compressed using the snare and removed through the endotracheal tube.