Surgical therapy of traumatic cardiologic intervention

Coronary perforation and entrapment of catheter materials are rare, but life-threatening complications, which often require emergency cardiosurgical treatment. Surgical options include tamponade drainage, coronary artery bypass grafting, perforation suturing, and removal of catheter materials. Surgi...

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Bibliographic Details
Published in:Zeitschrift für Kardiologie 2003-10, Vol.92 (10), p.833-836
Main Authors: Tugtekin, S M, Alexiou, K, Kappert, U, Matschke, K, Gulielmos, V, Knaut, M
Format: Article
Language:ger
Subjects:
Aged
Aged, 80 and over
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - instrumentation
Atherectomy, Coronary - adverse effects
Atherectomy, Coronary - instrumentation
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Cardiac Tamponade - surgery
Coronary Artery Bypass
Coronary Vessels - injuries
Coronary Vessels - surgery
Emergencies
Female
Foreign Bodies - diagnosis
Foreign Bodies - surgery
Foreign-Body Migration - diagnosis
Foreign-Body Migration - surgery
Humans
Intraoperative Complications - surgery
Male
Middle Aged
Reoperation
Stents - adverse effects
Suture Techniques
Treatment Outcome
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Description
Summary:Coronary perforation and entrapment of catheter materials are rare, but life-threatening complications, which often require emergency cardiosurgical treatment. Surgical options include tamponade drainage, coronary artery bypass grafting, perforation suturing, and removal of catheter materials. Surgical strategies are not standardized but mainly depend on the surgical anatomy. This is in particular true for the removal of the catheter remnants (stent, guidewire). Keeping this in mind, these patients can be treated with good clinical results.
ISSN:0300-5860
DOI:10.1007/s00392-003-0973-9