Author + information
- Masashi Kimura,
- Etsuo Tsuchikane,
- Takahiko Suzuki,
- Tomohiko Teramoto,
- Kenya Nasu,
- Maoto Habara,
- Mitsuyasu Terashima,
- Yasushi Asakura,
- Yoshihisa Kinoshita and
- Tetsuo Matsubara
An intra–coronary device becoming “stuck” is a very uncommon complication that may lead to tragic consequences such as occlusion of the artery and systemic embolism.
Of 14,198 lesions in 13,188 patients who underwent PCI between 1999 and 2011, 40 “device stuck” (0.28%) incidents occurred during PCI procedures. The incidence, outcomes and management of these “device stuck” occurrences were evaluated.
The overall procedural success rate was 97.8% (13,884/14,198). The stuck devices included stents (n=20; 50%), wires (n=14; 35%), balloons (n=4; 10%), intra–vascular ultrasound (n=1; 2.5%), and rotablator burrs (n=1; 2.5%), respectively. Management of the complication and acute/long–term outcomes are shown in the table. Of 40 instances of “device stuck,” 15 (37.5%) were retrieved successfully, and 7 (18%) resulted in rupture and were left in the coronary artery. Thirty–seven patients recovered in the cath–lab and the rest (N=3) were referred to emergency CABG. At 1–year follow–up, all patients were alive, although the segment of the coronary artery where the “device stuck” occurred was occluded in 2 cases on agiographic findings.
Although the rate of this complication during PCI was very low, all cases were solved with optimal treatment and all patients survived at 1–year follow–up. A safe procedure with careful device manipulation should be required for PCI, with appropriate management leading to better outcomes.
Poster Sessions, Expo North
Saturday, March 09, 2013, 10:00 a.m.–10:45 a.m.
Session Title: Coronary Stents
Abstract Category: 47. TCT@ACC–i2: Coronary Intervention, Devices
Presentation Number: 2101–249
- 2013 American College of Cardiology Foundation