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Device entrapment during percutaneous coronary intervention.
Sanz-Sánchez, Jorge; Mashayekhi, Kambis; Agostoni, Pierfrancesco; Egred, Mohaned; Avran, Alexandre; Kalyanasundaram, Arun; Garbo, Roberto; Colombo, Antonio; Regazzoli, Damiano; Reimers, Bernhard; Brilakis, Emmanouil S; Gasparini, Gabriele L.
Affiliation
  • Sanz-Sánchez J; Interventional cardiology Unit, Hospital Universitari i Politecnic La Fe, Valencia, Spain.
  • Mashayekhi K; Centro de Investigación Biomedica en Red (CIBERCV)-Madrid, Madrid, Spain.
  • Agostoni P; Division of Cardiology, University Heart Center Freiburg-Bad Krozingen, Bad Krozingen, Germany.
  • Egred M; Hartcentrum, Ziekenhuis Netwerk Antwerpen (ZNA) Middelheim, Antwerpen, Belgium.
  • Avran A; Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, UK.
  • Kalyanasundaram A; Division of Cardiology, School of Medicine, University of Sunderland, Sunderland, UK.
  • Garbo R; Division of Cardiology, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
  • Colombo A; Department of Interventional Cardiology, Clinique Pasteur, Essey-lès-Nancy, France.
  • Regazzoli D; Interventional Cardiology Unit, Division of Cardiology, Promed Hospital, Chennai, India.
  • Reimers B; Department of Interventional Cardiology, Maria Pia Hospital, Torino, Italy.
  • Brilakis ES; Interventional Cardiology Unit, IRCCS Humanitas Clinical and Research Center, Milan, Italy.
  • Gasparini GL; Interventional Cardiology Unit, IRCCS Humanitas Clinical and Research Center, Milan, Italy.
Catheter Cardiovasc Interv ; 99(6): 1766-1777, 2022 05.
Article in En | MEDLINE | ID: mdl-35312151
ABSTRACT

INTRODUCTION:

Device entrapment is a life-threatening complication during percutaneous coronary intervention (PCI). However, the success for its management is predominantly based on operator experience with limited available guidance in the published literature.

METHODS:

A systematic review was performed on December 2021; we searched PubMed for articles on device entrapment during PCI. In addition, backward snowballing (i.e., review of references from identified articles and pertinent reviews) was employed.

RESULTS:

A total of 4209 articles were retrieved, of which 150 studies were included in the synthesis of the data. A methodical algorithmic approach to prevention and management of device entrapment can help to optimize outcomes. The recommended sequence of steps are as follows (a) pulling, (b) trapping, (c) snaring, (d) plaque modification, (e) telescoping, and (f) surgery.

CONCLUSIONS:

In-depth knowledge of the techniques and necessary tools can help optimize the likelihood of successful equipment retrieval and minimization of complications.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Plaque, Atherosclerotic / Percutaneous Coronary Intervention Type of study: Systematic_reviews Limits: Humans Language: En Journal: Catheter Cardiovasc Interv Journal subject: CARDIOLOGIA Year: 2022 Document type: Article Affiliation country: Spain
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Plaque, Atherosclerotic / Percutaneous Coronary Intervention Type of study: Systematic_reviews Limits: Humans Language: En Journal: Catheter Cardiovasc Interv Journal subject: CARDIOLOGIA Year: 2022 Document type: Article Affiliation country: Spain