[Surgical Removal of a Retained Balloon Catheter During Percutaneous Coronary Intervention]

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Surgical Innovation

Background:

• Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
• Catheter-related complications during PCI, though rare, can be serious.
• Prompt management is crucial for adverse events during interventional procedures.

Purpose of the Study:

• To report a rare case of catheter retention and stent entanglement during PCI.
• To highlight the necessity of surgical intervention for complex PCI complications.
• To emphasize the importance of prompt surgical management in preventing life-threatening outcomes.

Main Methods:

• A 76-year-old male patient with angina underwent PCI.
• A balloon catheter fractured and became irretrievable, requiring transfer to our hospital.
• Surgical removal of the retained catheter entangled with a coronary stent was performed under cardiopulmonary bypass, necessitating partial stent excision and coronary artery bypass grafting (CABG) due to intimal injury.

Main Results:

• Successful surgical removal of the fractured, retained catheter and entangled stent.
• Coronary artery bypass grafting (CABG) was performed due to intraoperative findings of intimal injury.
• The patient experienced an uneventful postoperative recovery and was discharged.

Conclusions:

• Catheter retention with stent entanglement is a rare but significant complication of PCI.
• Surgical intervention, including potential coronary artery bypass grafting (CABG), may be required for management.
• Timely surgical management is critical to prevent severe morbidity and mortality associated with such complications.