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Lost in circulation.
- Source :
-
Journal of Cardiac Surgery . Aug2020, Vol. 35 Issue 8, p1885-1890. 6p. 1 Black and White Photograph, 4 Charts. - Publication Year :
- 2020
-
Abstract
- <bold>Background: </bold>Device complications in complex percutaneous coronary interventions are rare but potentially deadly. Surgical removal is often required. However, an evaluation of surgical therapy beyond case reports is practically not existent.<bold>Methods: </bold>We prospectively followed all cases of retained guide wires and/or other devices referred to us for surgical removal between 2015 and 2019 and retrospectively searched our database for such cases between 2010 and 2014.<bold>Results: </bold>From 2015 on, eight cases were referred for surgical removal from six different cardiology departments. In the 5 years before, there was not a single case. Six patients were operated emergently. Patients were 60.5 ± 5.42 years old, overweight (body mass index 30.1 ± 3.77) and except for one case (left ventricular-assist device) showed preserved ejection fraction (EF) (mean EF 57 ± 18.01). The retained devices were mostly located in the right coronary artery (50%), followed by the circumflex artery (37.5%) and diagonal branch (12.5%). The devices were remnants of guide wires (n = 4), balloon catheters (n = 3), and in one case a rotablator. Full sternotomy was performed in six patients and two received a left-sided minithoracotomy (n = 2). The operations were performed on-pump in five (62.5%) and off-pump in three patients. Complete extraction of the foreign bodies was possible in all patients. Two patients died; one in unrelated multiorgan failure and one due to retained-device-related right heart failure. The other patients survived and had uneventful postoperative courses.<bold>Conclusions: </bold>Retained foreign bodies from cardiac interventions can be completely removed surgically using individualized approaches. There appears to be a trend toward a rising incidence of such interventional complications. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08860440
- Volume :
- 35
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Journal of Cardiac Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 144804827
- Full Text :
- https://doi.org/10.1111/jocs.14821