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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
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Foreign body associated non-ST elevation myocardial infarction: a case report
Pooyan Dehghani1,2, Mahdi Sajedi Khanian2,3
1Department of Cardiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Journal of Cardiovascular and Thoracic Research
|February 3, 2018
Summary
Guiding catheter tip fracture during percutaneous coronary interventions (PCI) is rare but serious. Prompt transcatheter removal is crucial to prevent severe complications like thrombosis and myocardial infarction.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Percutaneous coronary interventions (PCI) are common procedures for treating coronary artery disease.
- Guiding catheter use is integral to PCI, facilitating access to coronary arteries.
- Catheter fracture is a rare but significant procedural complication.
Observation:
- Fracture of the guiding catheter tip can occur during PCI.
- A retained fractured catheter tip poses risks of thrombosis, embolism, and acute vessel occlusion.
- Potential systemic complications include myocardial infarction, arrhythmias, and sepsis.
Findings:
- Prompt removal of fractured catheter fragments is mandatory to mitigate patient risk.
- Transcatheter retrieval is the preferred method for removing retained catheter tips.
- Surgical intervention is reserved for cases where percutaneous removal is unsuccessful.
Implications:
- Highlights the importance of vigilance and appropriate techniques during PCI to minimize catheter-related incidents.
- Emphasizes the critical role of interventional cardiologists in managing rare but severe procedural complications.
- Underscores the need for effective retrieval strategies to ensure patient safety and optimal outcomes in interventional cardiology.
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