Surgical management of entrapped percutaneous transluminal coronary angioplasty hardware.
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.
Chang
Te-Ming Tommy
TM
Department of Surgery, Mercy Hospital of Pittsburgh, Pittsburgh, Pennsylvania 15219, USA.
Pellegrini
Daniel
D
Ostrovsky
Alexey
A
Marrangoni
Albert G
AG
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*