Document Detail


Retained percutaneous transluminal coronary angioplasty equipment components and their management.
MedLine Citation:
PMID:  2961239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of 5,400 consecutive percutaneous transluminal coronary angioplasty (PTCA) procedures, 12 patients had complications resulting in retention of 1 or more PTCA equipment components. Eight patients had guidewire fragments retained within the coronary circulation, including one with a second wire segment within the abdominal aorta. A gold band catheter marker was retained within a coronary artery in 1 patient. Four of 5 extraction procedures in these patients were successful, including retrieval of a wire segment totally contained within the distal circumflex coronary artery. Bioptomes were used to retrieve guidewire segments from the abdominal aorta in 4 patients and a knotted guiding catheter from another. At late follow-up, 5 patients with wire segment retained for an extended time within the coronary circulation had no sequelae attributable to the PTCA component debris. We conclude that many fractured intracoronary wires with proximal portion extending into the ascending aorta can be extracted. Guidewire segments retained for a long time totally within the coronary circulation may be benign, particularly when entrapped within total coronary occlusions. Bioptomes can be used effectively to remove wire segments within the abdominal aorta and to assist in the removal of kinked guide catheters.
Authors:
G O Hartzler; B D Rutherford; D R McConahay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  60     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-01-20     Completed Date:  1988-01-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1260-4     Citation Subset:  AIM; IM    
Affiliation:
Mid America Heart Institute, Kansas City, Missouri.
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MeSH Terms
Descriptor/Qualifier:
Angiography
Angioplasty, Balloon / adverse effects*,  instrumentation
Coronary Angiography
Equipment Failure
Follow-Up Studies
Foreign Bodies / radiography,  therapy*
Humans

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