Intracoronary retrieval of the dehisced radiopaque ring of a guiding catheter: An unusual complication of coronary angioplasty

Abstract

The guiding catheter used in coronary intervention may be damaged or some parts could be dehisced during the procedure, producing adverse effects in the vascular tree. So much so that immediate surgery is usually indicated. We report a case with a dehisced radiopaque ring of the catheter during the procedure. It was retrieved percutaneously without thoracotomy.

Retrieval of friable catheter fragments

“…Same technique of using PTCA balloon and guidewire was reportedly employed in retrieving a dehisced radio-opaque ring of angioplasty catheter and also in retrieving an embolized coronary angioplasty balloon [5,6].…”

Revascularization after removal of broken catheter from left circumflex coronary artery

“…The components retained in the coronary tree include twisted / dehisced catheter tips [1][2][3] broken guidewire [4], entrapped balloons and undeployed stents [5]. Most of these complications occur during PTCA and stenting, as the procedure involves excessive manipulation and traction forces during various stages of the procedure.…”

“…Transcatheter removal is the most appealing and least invasive treatment option. Devices used for intra-coronary retrieval includes snares, cardiac bioptome and balloon catheter [1].…”

Dehiscence and distal embolization of radiopaque guiding catheter tip to distal embolization of radiopaque guiding catheter tip to distal ulnar artery during retrieval of guiding catheter

“…However, it also has a risk of complication. There are several case reports that vascular complication caused by broken or dehiscence of guiding catheter [1][2][3][4][5][6]. We should to report uncommon case that guiding catheter tip chipped off to the distal ulnar artery.…”