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Inadvertent retrieval of a broken PTCA catheter from the aorta during off-pump coronary bypass

F Nurözler1, S T Kutlu, G Küçük

  • 1Division of Cardiovascular Surgery, Central Hospital, Izmir, Turkey.

Cardiovascular Journal of South Africa : Official Journal for Southern Africa Cardiac Society [And] South African Society of Cardiac Practitioners
|March 30, 2007
PubMed

Insights

Using re-sterilized balloon catheters for coronary angioplasty can lead to device fracture. This case highlights the retrieval of a fractured angioplasty catheter during bypass surgery, emphasizing caution with PTCA hardware.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Re-used, re-sterilized balloon catheters are common in coronary angioplasty to reduce costs.
  • Fracture and retention of angioplasty devices are rare but increasingly recognized complications.

Observation:

  • A case of inadvertent retrieval of a fractured coronary angioplasty catheter during off-pump coronary bypass surgery is presented.
  • The retrieved catheter extended from the coronary artery into the descending aorta.

Findings:

  • The accidental removal of the lodged catheter was life-saving for the patient.
  • This event underscores the potential risks associated with re-used interventional cardiology devices.

Implications:

  • A high degree of caution is necessary when planning surgical retrieval of percutaneous transluminal coronary angioplasty (PTCA) hardware.
  • This case highlights the importance of device integrity and careful patient selection for procedures involving re-sterilized equipment.

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