Device entrapment during percutaneous coronary intervention

Jorge Sanz-Sánchez, Kambis Mashayekhi, Pierfrancesco Agostoni, Mohaned Egred, Alexandre Avran, Arun Kalyanasundaram, Roberto Garbo, Antonio Colombo, Damiano Regazzoli, Bernhard Reimers, Emmanouil S. Brilakis, Gabriele L. Gasparini

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish (US)
JournalCatheterization and Cardiovascular Interventions
DOIs
StateAccepted/In press - 2022
Externally publishedYes

Keywords

  • complications
  • coronary artery disease
  • PCI
  • percutaneous coronary intervention

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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