[Rupture and intracoronary entrapment of an angioplasty guidewire with the X-Sizer thromboatherectomy catheter during rescue angioplasty].
نویسندگان
چکیده
The X-Sizer thromboatherectomy catheter represents an important advance for thrombectomy in thrombus-containing lesions, especially in patients who require primary and rescue angioplasty. Although it is safe, some complications have been reported as its use becomes more widespread. To our knowledge, the intracoronary breakage and retention of the angioplasty guidewire has not been reported. We describe a case of this rare complication and analyze the causes, prevention and treatment alternatives.
منابع مشابه
Surgical removal of guidewire entrapped within stent struts during percutaneous coronary angioplasty.
There has been a growing trend toward percutaneous coronary angioplasty for complex coronary artery lesions. Stent or guidewire break off or trapping within the coronary artery lumen is a rare complication, but it may have fatal consequences. In such cases, the entrapped device may be removed by either percutaneous route or surgical exploration. Here, we report a patient with guidewire entrapme...
متن کاملIntracoronary thrombectomy improves myocardial reperfusion in patients undergoing direct angioplasty for acute myocardial infarction.
OBJECTIVES We sought to evaluate the effects of mechanical thrombectomy on myocardial reperfusion during direct angioplasty for acute myocardial infarction (AMI). BACKGROUND Embolization of thrombus and plaque debris may occur during direct angioplasty for AMI. This may lead to distal vessel or side branch occlusion and to obstructions in the microvascular system, resulting in impaired myocar...
متن کامل[Angiographic results of thrombectomy performed with two new devices in lesions with intracoronary thrombus].
INTRODUCTION AND OBJECTIVE The presence of intracoronary thrombus is associated with less favorable results of percutaneous coronary interventions. In recent years, new devices have been designed to improve the outcome of these procedures when an intracoronary thrombus is present. The results of two new systems of thrombectomy used in a single center are analyzed. METHODS Prospective observat...
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Adres do korespondencji: dr n. med. Aneta I. Gziut, Klinika Kardiologii Inwazyjnej, Centralny Szpital Kliniczny MSWiA, ul. Wołoska 137, 02-507 Warszawa, tel.: +48 22 508 11 00, faks: +48 22 845 41 30, e-mail: [email protected] Przedstawiamy przypadek 54-letniego chorego hospitalizowanego 3-krotnie w Klinice Kardiologii Inwazyjnej w związku z powikłaniem zabiegu angioplastyki wie...
متن کاملCoronary artery dissection caused by exit of the guidewire through the distal perfusion sidehole of an auto-perfusion angioplasty balloon catheter.
A previously unrecognized cause of coronary artery dissection is reported. A 67-year-old woman underwent angioplasty of the right coronary artery using an autoperfusion balloon catheter. Dissection occurred because the balloon catheter was advanced while the guidewire exited from one of the distal perfusion sideholes.
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عنوان ژورنال:
- Revista espanola de cardiologia
دوره 57 2 شماره
صفحات -
تاریخ انتشار 2004