Interventional Cardiology, Wellspan York Hospital, 25 Monument Road, Suite 200, York, PA 17403, USA.
Interventional Cardiology, Complex Coronary and Cardiac Intervention, Emory University, Suite F606, 1364 Clifton Road, Atlanta, GA 30322, USA.
Interv Cardiol Clin. 2021 Jan;10(1):131-145. doi: 10.1016/j.iccl.2020.09.007.
Complex coronary artery intervention stresses the limits of both the operator's skills as well as the equipment being used for the procedure. This article is focused on avoiding, recognizing and dealing with device failure and gear entrapment during complex coronary intervention. The operator must understand how to avoid these complications by understanding the limits of devices and the need for adequate vessel preparation. This article focuses on giving the reader an algorithmic approach to recognizing when device failure/entrapment occurs and what specific maneuvers can be done to retrieve different devices and equipment safely.
复杂的冠状动脉介入手术对术者的技能和所用设备都提出了很高的要求。本文重点关注如何避免、识别和处理复杂冠状动脉介入手术中器械故障和器械嵌顿。术者必须了解器械的局限性以及充分的血管准备的必要性，从而避免这些并发症。本文重点为读者提供一种识别器械故障/嵌顿的算法，并介绍如何采取特定的操作来安全地取出不同的器械和设备。
