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Benton S, Nicholson WJ. When Things Get Stuck: Gear Entrapment and Other Complications of Chronic Total Occlusion Percutaneous Coronary Intervention. Interv Cardiol Clin. 2021;10(1):131-145doi: 10.1016/j.iccl.2020.09.007.
Benton, S., & Nicholson, W. J. (2021). When Things Get Stuck: Gear Entrapment and Other Complications of Chronic Total Occlusion Percutaneous Coronary Intervention. Interventional cardiology clinics, 10(1), 131-145. https://doi.org/10.1016/j.iccl.2020.09.007
Benton, Stewart, and Nicholson, William J. "When Things Get Stuck: Gear Entrapment and Other Complications of Chronic Total Occlusion Percutaneous Coronary Intervention." Interventional cardiology clinics vol. 10,1 (2021): 131-145. doi: https://doi.org/10.1016/j.iccl.2020.09.007
Benton S, Nicholson WJ. When Things Get Stuck: Gear Entrapment and Other Complications of Chronic Total Occlusion Percutaneous Coronary Intervention. Interv Cardiol Clin. 2021 Jan;10(1):131-145. doi: 10.1016/j.iccl.2020.09.007. PMID: 33223102.
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Interv Cardiol Clin. 2021 Jan;10(1):131-145. doi: 10.1016/j.iccl.2020.09.007.

When Things Get Stuck: Gear Entrapment and Other Complications of Chronic Total Occlusion Percutaneous Coronary Intervention.

Interventional cardiology clinics

Stewart Benton, William J Nicholson

Affiliations

  1. Interventional Cardiology, Wellspan York Hospital, 25 Monument Road, Suite 200, York, PA 17403, USA.
  2. Interventional Cardiology, Complex Coronary and Cardiac Intervention, Emory University, Suite F606, 1364 Clifton Road, Atlanta, GA 30322, USA. Electronic address: [email protected].

PMID: 33223102 DOI: 10.1016/j.iccl.2020.09.007

Abstract

Complex coronary artery intervention stresses the limits of both the operator's skills as well as the equipment being used for the procedure. This article is focused on avoiding, recognizing and dealing with device failure and gear entrapment during complex coronary intervention. The operator must understand how to avoid these complications by understanding the limits of devices and the need for adequate vessel preparation. This article focuses on giving the reader an algorithmic approach to recognizing when device failure/entrapment occurs and what specific maneuvers can be done to retrieve different devices and equipment safely.

Copyright © 2020 Elsevier Inc. All rights reserved.

Keywords: Chronic total occlusion; Complications; Embolization; Fracture; Gear entrapment

Conflict of interest statement

Disclosure The authors have nothing to disclose.

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