Chua Jia Min, Lueng Ong Paul Jau, Bang Low Randal Jun
Khoo Teck Puat Hospital, National Healthcare Group Singapore.
Mount Elizabeth Novena Hospital Singapore.
Interv Cardiol. 2025 Aug 14;20:e22. doi: 10.15420/icr.2025.15. eCollection 2025.
Complete fracture of a guiding catheter is a rare, but potentially serious, complication of percutaneous coronary intervention. Options for removal include endovascular retrieval devices or surgery. A rare case of a fractured guiding catheter with its tip in the ascending aorta and its successful retrieval using a combination of home-made snare, kissing guiding catheter and balloon trekking technique is reported.
引导导管完全断裂是经皮冠状动脉介入治疗中一种罕见但可能严重的并发症。取出方法包括血管内取出装置或手术。本文报告了1例引导导管尖端位于升主动脉的断裂病例,并通过自制圈套器、亲吻引导导管和球囊追踪技术成功取出。