[Surgical therapy of traumatic cardiologic intervention].
Coronary perforation and entrapment of catheter materials are rare, but life-threatening complications, which often require emergency cardiosurgical treatment. Surgical options include tamponade drainage, coronary artery bypass grafting, perforation suturing, and removal of catheter materials. Surgical strategies are not standardized but mainly depend on the surgical anatomy. This is in particular true for the removal of the catheter remnants (stent, guidewire). Keeping this in mind, these patients can be treated with good clinical results.
Tugtekin
S M
SM
Herzzentrum Dresden GmbH, Universitätsklinik Klinik für Kardiochirurgie, Fetscherstr. 76, 01307 Dresden, Germany. Monika.Weber.hkz_dd@t-online.de
Alexiou
K
K
Kappert
U
U
Matschke
K
K
Gulielmos
V
V
Knaut
M
M
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D017225:Atherectomy, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D002305:Cardiac Tamponade / Q000601:surgery; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D004630:Emergencies; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000601:surgery*; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D013536:Suture Techniques; D016896:Treatment Outcome