Successful device retrieval using simple balloon method during cardiac procedures
| Autor: | Rangaraj Ramalingam, Natraj Setty, Shivanand Patil, Jayasheelan Mambally, Cholenahally Nanjappa Manjunath |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Original Paper Balloon mitral valvotomy business.industry broken stent shaft uncoiled guidewire medicine.medical_treatment balloon mitral valvotomy General Medicine detached post-dilation balloon 030204 cardiovascular system & hematology Balloon Surgery Angioplasty balloon 03 medical and health sciences 0302 clinical medicine percutaneous retrieval Angioplasty Cardiac procedures Medicine 030212 general & internal medicine business |
| Zdroj: | Interventional Medicine & Applied Science |
| ISSN: | 2061-5094 2061-1617 |
| Popis: | Objectives Although rare, incidents of broken/dislodged fragment of various angioplasty hardwares, including catheters, guidewires, angioplasty balloons, and stents, are being increasingly reported in recent years. Since these broken fragments may cause life-threatening consequences for a patient, it is vital for an interventional cardiologist to be acquainted with different retrieval techniques. Here, we are reporting our observations of several incidents of device dislodgement/fracture during cardiac interventions and their retrieval using simple balloon method. Methods We present a study of eight patients in whom we attempted to retrieve dislodged/fractured cath-lab hardwares during cardiac interventions, using simple balloon method. These cases include two cases of balloon, three cases of stent, and three cases of guidewire dislodgement/fracture. Results Fractured/dislodged cath-lab hardwares were successfully retrieved using a simple balloon method in six out of eight cases (75%), without any need of other retrieval hardwares. We observed no major complications in any patient. Conclusions The balloon-assisted retrieval method is a simple, safe, and cost-effective way to avoid complications of endothelial injury, myocardial infarction, emergency coronary artery bypass graft, and sudden cardiac death. This study, particularly the context of retrieval technique used in each case, will offer valuable information to fellow interventional cardiologists. |
| Databáze: | OpenAIRE |
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