Kim Ji-Hoon, Kim Gee-Hee, Moon Keon-Woong
Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea, Paldal-ku, Suwon, Gyunggi-do, 442-723, South Korea.
J Invasive Cardiol. 2012 Feb;24(2):74-5.
Intravascular fracture of angiographic catheters is very uncommon, but it happens. Removal of an intravascular foreign body may require surgical intervention or non-surgical retrieval necessitating additional vascular access (mostly via femoral artery). We describe a case in which the diagnostic catheter was broken. We were able to pass two guidewires (0.035-inch guidewire and 0.014-inch standard percutaneous transluminal coronary angioplasty guidewire) through the fragment. The 0.014-inch guidewire twirled, winding around the 0.035-inch wire, and the catheter fragment was retrieved successfully through the radial sheath.
血管造影导管的血管内断裂非常罕见，但确实会发生。取出血管内异物可能需要手术干预或非手术取出，这需要额外的血管通路（大多通过股动脉）。我们描述了一例诊断导管断裂的病例。我们能够将两根导丝（0.035英寸导丝和0.014英寸标准经皮腔内冠状动脉成形术导丝）穿过碎片。0.014英寸导丝旋转，缠绕在0.035英寸导丝上，导管碎片通过桡动脉鞘成功取出。
