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Retrieval of Broken Export Catheter during Primary Angioplasty
Vimal Mehta1, Bhagya Narayan Pandit1, Vijay Trehan1
1Department of Cardiology, GB Pant Hospital, Delhi, India.
Insights
Broken catheter fragments during percutaneous coronary interventions can be life-threatening. This case report details a successful retrieval of a broken export catheter using an inflated balloon technique during primary angioplasty.
Area of Science:
- Interventional Cardiology
- Medical Device Complications
Background:
- Percutaneous coronary interventions (PCI) are standard procedures for coronary artery disease.
- Catheter fragment embolization during PCI, though rare, poses significant risks including vessel perforation and thrombus formation.
Observation:
- An unusual complication occurred during primary angioplasty involving a fractured export catheter.
- The broken catheter fragment presented a risk of embolization within the coronary artery.
Findings:
- The fractured export catheter was successfully retrieved using an innovative inflated balloon-mediated technique.
- This method effectively managed the complication without further adverse events.
Implications:
- Highlights the potential for severe complications during PCI, emphasizing the need for vigilance.
- Demonstrates a novel and effective technique for managing broken catheter fragments, potentially improving patient outcomes.
- Suggests the utility of balloon-mediated retrieval in interventional cardiology for managing intra-arterial foreign body retrieval.
Abstract:
Broken catheter fragments in a coronary artery during percutaneous coronary interventions although uncommon can potentially result in life-threatening consequences from the attended embolization, thrombus formation, and perforation. We report an unusual complication of a broken export catheter during primary angioplasty, which was successfully managed by inflated balloon-mediated retrieval technique.
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