title: Surgical management of entrapped percutaneous transluminal coronary angioplasty hardware.
abstract: Entrapment and fracture of coronary angioplasty hardware are rare complications of percutaneous coronary artery interventions; however, when such incidents occur, they frequently require surgical management. Percutaneous retrieval should be attempted before surgical retrieval unless hemodynamic stability is a problem. Surgical intervention should focus on grafting the affected coronary vessel(s) and ensuring that there is no hardware in the aortic root that could serve as a nidus for thrombus formation. We present 3 cases from our recent experiences of entrapped, fractured hardware.
authors.affiliation: Department of Surgery, Mercy Hospital of Pittsburgh, Pittsburgh, Pennsylvania 15219, USA.
authors.forename: Te-Ming Tommy
authors.initials: TM
authors.lastname: Chang
authors.forename: Daniel
authors.initials: D
authors.lastname: Pellegrini
authors.forename: Alexey
authors.initials: A
authors.lastname: Ostrovsky
authors.forename: Albert G
authors.initials: AG
authors.lastname: Marrangoni
mesh_terms: D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013525:Surgical Instruments / Q000009:adverse effects*