[Extraction of a broken intracoronary PTCA guide wire perforating the circumflex artery, using a Dotter retrieval catheter].
Coronary artery perforation is a rare but potentially lethal complication during percutaneous transluminal coronary angioplasty (PTCA). To avoid pericardial tamponade, it has been suggested that perforating wires or balloons should not be withdrawn and that the patient should be transferred immediately to surgery. We report a case with a perforating and broken intracoronary guide wire which was successfully extracted using a Dotter intravascular retriever catheter. The only consequence was a small pericardial effusion not requiring pericardial puncture. Thus, emergency surgery is not inevitable after coronary artery perforation caused by thin intracoronary guide wires.
D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002404:Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged
Extraktion eines gebrochenen und die A. circumflexa perforierenden intrakoronaren PTCA-Führungsdrahtes mit Hilfe eines Dotter-Fangkatheters.