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Device entrapment during percutaneous coronary intervention

Lookup NU author(s): Dr Mohaned Egred

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© 2022 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC. 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.


Publication metadata

Author(s): Sanz-Sanchez J, Mashayekhi K, Agostoni P, Egred M, Avran A, Kalyanasundaram A, Garbo R, Colombo A, Regazzoli D, Reimers B, Brilakis ES, Gasparini GL

Publication type: Article

Publication status: Published

Journal: Catheterization and Cardiovascular Interventions

Year: 2022

Pages: Epub ahead of print

Online publication date: 21/03/2022

Acceptance date: 05/03/2022

Date deposited: 21/04/2022

ISSN (print): 1522-1946

ISSN (electronic): 1522-726X

Publisher: John Wiley and Sons Inc.

URL: https://doi.org/10.1002/ccd.30160

DOI: 10.1002/ccd.30160

PubMed id: 35312151


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