Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Surgical Removal of a IVUS Catheter that was Fractured During PCI

경피적 관상동맥 중재술 시 골절된 혈관 내 IVUS 카테터의 외과적 제거

  • Kim, Young-Hak (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Kim, Hyuck (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Song, Young-Joo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Chung, Won-Sang (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Kang, Jeong-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University)
  • 김영학 (한양대학교 의과대학 흉부외과학교실) ;
  • 김혁 (한양대학교 의과대학 흉부외과학교실) ;
  • 송영주 (한양대학교 의과대학 흉부외과학교실) ;
  • 정원상 (한양대학교 의과대학 흉부외과학교실) ;
  • 강정호 (한양대학교 의과대학 흉부외과학교실)
  • Published : 2008.12.05
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Abstract

The use of IVUS provides information about the lumen and arterial wall, the location and extent of atherosclerotic plaque and the state of the arterial wall after PCi. The use of IVUS after insertion of an intracoronary stent has currently increased, while conflicting evidence exists concerning the long-term benefits of IVUS. We report here on a case of surgical removal of an entrapped and fractured IVUS catheter during insertion of intracoronary stents, and we include a review of the relevant literature.

관상동맥질환에서 경피적 관상동맥 중재술 시 IVUS는 혈관내강과 혈관벽의 상태 죽상경화의 위치 및 범위, 중재술 후의 혈관내강의 상태에 대한 다양한 정보를 제공한다. 근래에 스텐트 삽입 후 IVUS의 사용이 점차 증가하는 추세이지만 장기적 유용성은 아직 입증되지는 않았다. 스텐트 삽입술 후 IVUS로 확인하는 과정에서 카테터가 포획되었고 이를 제거라는 과정 중 골절이 발생한 경우를 외과적으로 치험하였기에 문헌고찰과 함께 보고하고자 한다.

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References

  1. Hausmann D, Erbel R, Alibelli-Chemarin MJ, et al. The safety of intracoronary ultrasound. A multicenter survey of 2207 examinations. Circulation 1995;91:623-30 https://doi.org/10.1161/01.CIR.91.3.623
  2. Batkoff BW, Linker DT. Safety of intracoronary ultrasound: data from a Multicenter European Registry. Cathet Cardiovasc Diagn 1996;38:238-41 https://doi.org/10.1002/(SICI)1097-0304(199607)38:3<238::AID-CCD3>3.0.CO;2-9
  3. Sasseen BM, Burke JA, Shah R, et al. Intravascular ultrasound catheter entrapment after coronary artery stenting. Catheter Cardiovasc Interv 2002;57:229-33 https://doi.org/10.1002/ccd.10244
  4. Chang TMT, Pellegrini D, Ostrovsky A, Marrangoni AG. Surgical management of entrapped percutaneous transluminal coronary angioplasty hardware. Tex Heart Inst J 2002;29:329-32
  5. Morris RJ, Kuretu MLR, Grunewald KE, Samuels LE, Strong MD, Wechsler AS. Surgical treatment of interventional coronary angiographic accidents. Angiology 1999;10:789-95