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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

223
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

248
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
248

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Related Experiment Video

Updated: Sep 29, 2025

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Device entrapment during percutaneous coronary intervention.

Jorge Sanz-Sánchez1,2, Kambis Mashayekhi3, Pierfrancesco Agostoni4

  • 1Interventional cardiology Unit, Hospital Universitari i Politecnic La Fe, Valencia, Spain.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|March 21, 2022
PubMed
Summary
This summary is machine-generated.

Device entrapment during percutaneous coronary intervention (PCI) is dangerous. A systematic review found an algorithmic approach, including pulling, trapping, and snaring, can optimize management and minimize complications.

Keywords:
PCIcomplicationscoronary artery diseasepercutaneous coronary intervention

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Area of Science:

  • Cardiovascular Interventions
  • Interventional Cardiology
  • Medical Device Complications

Background:

  • Device entrapment is a severe complication during percutaneous coronary intervention (PCI).
  • Management success heavily relies on operator experience due to limited literature guidance.
  • This complication poses a significant risk to patient safety.

Purpose of the Study:

  • To systematically review and synthesize existing literature on device entrapment during PCI.
  • To establish a methodical algorithmic approach for the prevention and management of device entrapment.
  • To provide guidance for optimizing outcomes and minimizing complications.

Main Methods:

  • A systematic literature search was conducted in PubMed in December 2021.
  • Backward snowballing was used to identify additional relevant studies.
  • Data from 150 selected studies were synthesized.

Main Results:

  • A total of 4209 articles were initially retrieved.
  • An algorithmic approach involving sequential steps was identified as crucial for management.
  • Recommended steps include: pulling, trapping, snaring, plaque modification, telescoping, and surgery.

Conclusions:

  • In-depth knowledge of techniques and tools is vital for successful equipment retrieval.
  • Implementing a structured algorithmic approach can optimize patient outcomes.
  • Minimizing complications associated with device entrapment is achievable with proper knowledge and techniques.