Device entrapment during percutaneous coronary intervention. Issue 6 (21st March 2022)

• Record Type: Journal Article
• Authors: Sanz‐Sánchez, Jorge; Mashayekhi, Kambis; Agostoni, Pierfrancesco; Egred, Mohaned; Avran, Alexandre; Kalyanasundaram, Arun; Garbo, Roberto; Colombo, Antonio; Regazzoli, Damiano; Reimers, Bernhard; Brilakis, Emmanouil S.; Gasparini, Gabriele L.
• Is Part Of: Catheterization and cardiovascular interventions. Volume 99:Issue 6(2022)
• Page Start: 1766
• Page End: 1777
• Publication Date: 2022-03-21
• Subjects: complications -- coronary artery disease -- PCI -- percutaneous coronary intervention; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.30160
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract: Introduction: Device entrapment is a life‐threatening complication during percutaneous coronary intervention (PCI). However, the success for its management is predominantly based on operator experience with limited available guidance in the published literature. Methods: A systematic review was performed on December 2021; we searched PubMed for articles on device entrapment during PCI. In addition, backward snowballing (i.e., review of references from identified articles and pertinent reviews) was employed. Results: A total of 4209 articles were retrieved, of which 150 studies were included in the synthesis of the data. A methodical algorithmic approach to prevention and management of device entrapment can help to optimize outcomes. The recommended sequence of steps are as follows: (a) pulling, (b) trapping, (c) snaring, (d) plaque modification, (e) telescoping, and (f) surgery. Conclusions: In‐depth knowledge of the techniques and necessary tools can help optimize the likelihood of successful equipment retrieval and minimization of complications.