Retrieval of Broken Export Catheter during Primary Angioplasty

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.

Keywords

export catheter - primary angioplasty - retrieval

• References

• 1 Gibson CM, de Lemos JA, Murphy SA , et al; TIMI Study Group. Combination therapy with abciximab reduces angiographically evident thrombus in acute myocardial infarction: a TIMI 14 substudy. Circulation 2001; 103 (21) 2550-2554
• 2 Hartzler GO, Rutherford BD, McConahay DR. Retained percutaneous transluminal coronary angioplasty equipment components and their management. Am J Cardiol 1987; 60 (16) 1260-1264
• 3 Schneider RM, Fornes RE, Stuckey WC, Gilbert RD, Peter RH. Fracture of a polyurethane cardiac catheter in the aortic arch: a complication related to polymer aging. Cathet Cardiovasc Diagn 1983; 9 (2) 197-207
• 4 Gurley JC, Booth DC, Hixson C, Smith MD. Removal of retained intracoronary percutaneous transluminal coronary angioplasty equipment by a percutaneous twin guidewire method. Cathet Cardiovasc Diagn 1990; 19 (4) 251-256
• 5 Hong YM, Lee SR. A case of guide wire fracture with remnant filaments in the left anterior descending coronary artery and aorta. Korean Circ J 2010; 40 (9) 475-477
• 6 Thomas J, Sinclair-Smith B, Bloomfield D, Davachi A. Non-surgical retrieval of a broken segment of steel spring guide from the right atrium and inferior vena cava. Circulation 1964; 30: 106-108
• 7 Dotter CT, Rösch J, Bilbao MK. Transluminal extraction of catheter and guide fragments from the heart and great vessels; 29 collected cases. Am J Roentgenol Radium Ther Nucl Med 1971; 111 (3) 467-472
• 8 Colombo A, Skinner JM. Balloon entrapment in a coronary artery: potential serious complications of balloon rupture. Cathet Cardiovasc Diagn 1990; 19 (1) 23-25
• 9 Breisblatt WM. Inflated balloon entrapped in a calcified coronary stenosis. Cathet Cardiovasc Diagn 1993; 29 (3) 224-228
• 10 Woodfield SL, Lopez A, Heuser RR. Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade. Cathet Cardiovasc Diagn 1998; 44 (2) 220-223
• 11 Paulus BM, Fischell TA. Retrieval devices and techniques for the extraction of intravascular foreign bodies in the coronary arteries. J Interv Cardiol 2010; 23 (3) 271-276