Key result
Thrombus aspiration catheter becomes trapped during STEMI due to guidewire cutting the main shaft.
Why the study?
A novel complication involving thrombus aspiration catheter entrapment due to shaft rupture and twisting over the wire during treatment of acute inferior STEMI was unreported.
Case Report (n=1)
This case highlights a novel complication of thrombus aspiration where the catheter shaft ruptured and twisted over the guidewire, becoming trapped in the coronary artery.
Answers are grounded in this paper and cite their sources.
Raises awareness of rare thrombus aspiration catheter entrapment in STEMI; hypothesis-generating for device-wire interaction risks.
We report a novel complication that arose while treating a 54 year old man with acute inferior ST elevation segment myocardial infarction. It was decided to perform thrombus aspiration prior to balloon angioplasty. However, after aggressive maneuvers to cross the tight lesion in order to suck the distal thrombus, a novel complication was encountered. The Thrombus Aspiration Catheter (TAC) got stuck in the coronary artery. When the whole apparatus was pulled out, it was realized that the guidewire cut the main shaft of TAC and catheter got twisted over the wire. To the best of our knowledge, this is the first report of a complication of this type.
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Çağdaş Akgüllü (2014) conducted a case report in Acute inferior ST elevation segment myocardial infarction (n=1). Thrombus aspiration catheter was evaluated on Catheter entrapment complication. A thrombus aspiration catheter became trapped in the coronary artery of a 54-year-old man with acute inferior STEMI due to the guidewire cutting the main shaft and twisting over the wire.
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