Erol ŞENER, Levent ÇETİN, Ayşegül KUNT, Mete HIDIROĞLU, Aslıhan KÜÇÜKER

Coronary artery bypass graft surgery for right coronary artery: balloon catheter entrapment

Aterosklerotik kalp hastalıklarında perkütan koroner girişimler yaygın uygulanmakta olup, neredeyse hasta- ne yatışı gerektirmeden uygulanabilecek hale gelmiştir. Ancak, invaziv bir girişim olduğu için, koroner anjiyog- rafi ve perkütan koroner girişimlerin bazı ciddi kompli- kasyonları olabilmektedir. Bu yazıda, perkütan koroner girişim sırasında sağ koroner arter içerisinde sıkışan ve acil koroner arter baypas grefleme gerektiren perkütan koroner girişimin bir komplikasyonunun görüldüğü 81 yaşında bir erkek olgu sunuldu. Bu yazı, son yıllara ait bazı saygın kılavuzlarda gerekli görülmemiş olmasına rağmen, perkütan koroner girişimlerin uygulandığı has- tanelerde kardiyovasküler ekibin gerekliliğini vurgula- mak amacıyla kaleme alınmıştır.

Sağ koroner arter için koroner arter baypas greft cerrahisi: Balon kateteri sıkışması

Percutaneous coronary interventions which are widely performed for atherosclerotic heart diseases have become almost an outpatient practice. However, being an invasive intervention, coronary angiography and percutaneous coronary interventions may have some serious complications. In this article, we report an 81-year-old male case with a complication of percutaneous coronary intervention where the balloon catheter was entrapped in the right coronary artery and emergent coronary artery bypass grafting was required. This report aims to emphasize the need for a cardiovascular team in hospitals performing percutaneous coronary interventions although some respected guidelines do not require such a set-up.

PDF

___

Oqueli E. Current state of the performance of percutaneous coronary intervention in centres without on-site cardiac surgery. Intern Med J 2012;42 Suppl 5:58-67.
Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation 2011;124:e574-651.
Cuttone F, Saplacan V, Sabatier R, Buklas D. Angioplasty balloon catheter entrapment. Asian Cardiovasc Thorac Ann 2012;20:491.
Turk Gogus Kalp Dama
Hamamoto M, Futagami D. Successful surgical removal of an entrapped intravascular ultrasonography catheter in the left circumflex coronary artery. Gen Thorac Cardiovasc Surg 2012;60:830-3.
Prasad A, Herrmann J. Myocardial infarction due to percutaneous coronary intervention. N Engl J Med 2011;364:453-64.
Tavris DR, Wang Y, Jacobs S, Gallauresi B, Curtis J, Messenger J, et al. Bleeding and vascular complications at the femoral access site following percutaneous coronary intervention (PCI): an evaluation of hemostasis strategies. J Invasive Cardiol 2012;24:328-34.
Nikolsky E, Gruberg L, Pechersky S, Kapeliovich M, Grenadier E, Amikam S, et al. Stent deployment failure: reasons, implications, and short- and long-term outcomes. Catheter Cardiovasc Interv 2003;59:324-8.
Patel VG, Brayton KM, Tamayo A, Mogabgab O, Michael TT, Lo N, et al. Angiographic success and procedural complications in patients undergoing percutaneous coronary chronic total occlusion interventions: a weighted meta- analysis of 18,061 patients from 65 studies. JACC Cardiovasc Interv 2013;6:128-36.
Fukui T, Takanashi S, Mihara W, Ishikawa K, Hosoda Y. Coronary endarterectomy and stent removal after iatrogenic perforation. Ann Thorac Surg 2004;77:708-11.
Iturbe JM, Abdel-Karim AR, Papayannis A, Mahmood A, Rangan BV, Banerjee S, et al. Frequency, treatment, and consequences of device loss and entrapment in contemporary percutaneous coronary interventions. J Invasive Cardiol 2012;24:215-21.