REMOVAL OF RETAINED INTRACORONARY PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY EQUIPMENT BY A PERCUTANEOUS TWIN GUIDEWIRE METHOD

被引：29
作者：
GURLEY, JC
BOOTH, DC
HIXSON, C
SMITH, MD
机构：
[1] UNIV KENTUCKY,MED CTR,DIV CARDIOVASC MED,LEXINGTON,KY 40536
[2] VET ADM MED CTR,DIV CARDIOVASC MED,LEXINGTON,KY 40511
来源：
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS | 1990年 / 19卷 / 04期
关键词：
balloon rupture; catheter retrieval methods; complications;
D O I：
10.1002/ccd.1810190408
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Balloon rupture during percutaneous transluminal coronary angioplasty (PTCA) resulted in embolization of a guidewire‐balloon fragment into the distal circumflex artery. Access to the circumflex was technically difficult because of aortic root dilation. The fragment was removed by inserting two PTCA guidewires into the artery and twisting them together to produce a helix. The helix propagated distally, entrapping the embolized fragment for removal. This report describes an unusual mode of failure for a balloon‐ona‐ wire dilating catheter and a new percutaneous removal technique that may be applied to retained catheter debris in small, inaccessible vessels. Copyright © 1990 John Wiley & Sons, Ltd.
引用
收藏
页码：251 / 256
页数：6
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