Rehman Abdul, Khan Javaid Arif, Sial Javaid A, Baloch Zafar Haleem
Department of Cardiology, Karachi Institute of Heart Diseases, Karachi.
J Coll Physicians Surg Pak. 2011 Oct;21(10):620-2. doi: 10.2011/JCPSP.620622.
Device entrapment is a rare complication of percutaneous coronary intervention. It has hazardous potentials for the patient. Emergent cardiac surgery is the only option after failure of retrieval devices. We have described here a case of a 55 years old male. During percutaneous coronary intervention, the balloon inflated only partially at its ends and entrapped in the lesion along with the stent. Multiple attempts at inflation failed and the patient developed severe chest pain for few minutes. Surgery was contemplated but final attempt at inflation was successful and the patient stabilized. It was an emergent situation and could have led to fatal outcome, although this patient escaped narrowly from any fatal outcome.
器械嵌顿是经皮冠状动脉介入治疗的一种罕见并发症。它对患者具有潜在危险。在取出器械失败后，紧急心脏手术是唯一的选择。我们在此描述了一例55岁男性患者的病例。在经皮冠状动脉介入治疗期间，球囊仅在其末端部分膨胀，并与支架一起被困在病变处。多次尝试膨胀均失败，患者出现了几分钟的严重胸痛。曾考虑进行手术，但最后一次膨胀尝试成功，患者病情稳定。这是一种紧急情况，本可能导致致命后果，尽管该患者侥幸逃脱了任何致命结局。
