JACC. Case reports · 2025
Successful Percutaneous Retrieval of a Trapping Balloon Protective Tube Embolized in the Coronary Artery.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kobayashi Hisaya, Higami Hirooki, Matsuo Hitoshi
Аннотация
BACKGROUND: Retained medical devices in the coronary artery during percutaneous coronary intervention (PCI) are rare but life-threatening, necessitating precise retrieval techniques.
CASE SUMMARY: An 85-year-old woman presented with non-ST-segment elevation myocardial infarction due to embolization of a protective tube from a trapping balloon into her coronary artery during a PCI performed 4 months ago. Imaging revealed a protective tube covered with intimal hyperplasia, which caused significant stenosis of the left circumflex artery. Using intravascular ultrasound guidance and a Conquest Pro 12 Sharpened Tip wire, the tube was successfully retrieved, followed by culotte stenting to restore coronary flow.
DISCUSSION: To our knowledge, this is the first reported case of percutaneous retrieval of a protective tube embolized into the coronary artery. This approach highlights the importance of intravascular ultrasound, plaque modification, and other advanced techniques for managing device entrapment.
TAKE-HOME MESSAGE: PCI operators should be familiar with device handling and bailout strategies to effectively address rare but critical complications.
CASE SUMMARY: An 85-year-old woman presented with non-ST-segment elevation myocardial infarction due to embolization of a protective tube from a trapping balloon into her coronary artery during a PCI performed 4 months ago. Imaging revealed a protective tube covered with intimal hyperplasia, which caused significant stenosis of the left circumflex artery. Using intravascular ultrasound guidance and a Conquest Pro 12 Sharpened Tip wire, the tube was successfully retrieved, followed by culotte stenting to restore coronary flow.
DISCUSSION: To our knowledge, this is the first reported case of percutaneous retrieval of a protective tube embolized into the coronary artery. This approach highlights the importance of intravascular ultrasound, plaque modification, and other advanced techniques for managing device entrapment.
TAKE-HOME MESSAGE: PCI operators should be familiar with device handling and bailout strategies to effectively address rare but critical complications.