Successful device retrieval using simple balloon method during cardiac procedures

Interventional Medicine & Applied Science
Shivanand PatilCholenahally Nanjappa Manjunath

Abstract

Although rare, incidents of broken/dislodged fragment of various angioplasty hardwares, including catheters, guidewires, angioplasty balloons, and stents, are being increasingly reported in recent years. Since these broken fragments may cause life-threatening consequences for a patient, it is vital for an interventional cardiologist to be acquainted with different retrieval techniques. Here, we are reporting our observations of several incidents of device dislodgement/fracture during cardiac interventions and their retrieval using simple balloon method. We present a study of eight patients in whom we attempted to retrieve dislodged/fractured cath-lab hardwares during cardiac interventions, using simple balloon method. These cases include two cases of balloon, three cases of stent, and three cases of guidewire dislodgement/fracture. Fractured/dislodged cath-lab hardwares were successfully retrieved using a simple balloon method in six out of eight cases (75%), without any need of other retrieval hardwares. We observed no major complications in any patient. The balloon-assisted retrieval method is a simple, safe, and cost-effective way to avoid complications of endothelial injury, myocardial infarction, emergency coronary artery ...Continue Reading

References

Dec 7, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·T PatelK Fonseca
Sep 6, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Emmanouil S BrilakisKirk N Garratt
Apr 11, 2013·Cardiovascular Intervention and Therapeutics·Shivananda PatilCholenahally N Manjunath
Jun 25, 2013·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Wei-Ting ChangCheng-Han Lee
Jan 18, 2014·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Vimal MehtaVijay Trehan
May 30, 2014·Interactive Cardiovascular and Thoracic Surgery·Devender Singh, Anshuman Darbari
Apr 15, 2015·Journal of the Saudi Heart Association·Prakash Sadashivappa SurhonneCholenahally Nanjappa Manjunath

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Methods Mentioned

BETA
percutaneous transluminal coronary angioplasty
biopsy
coronary artery bypass

Software Mentioned

Statistical Package for Social Sciences

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