Logo do repositório
 
Publicação

When the shaft breaks: managing a cath lab nightmare

2025Artigo científico Acesso aberto
Ver registo simples
dc.contributor.authorOliveira, Catarina
dc.contributor.authorAzaredo Raposo, Miguel
dc.contributor.authorMarques da Costa, José
dc.contributor.authorPinto, Fausto J.
dc.contributor.authorSilva Marques, João
dc.date.accessioned2025-02-11T14:06:42Z
dc.date.available2025-02-11T14:06:42Z
dc.date.issued2025
dc.description© 2025 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.pt_PT
dc.description.abstractObjective: We describe the case of a 57-year-old male patient with anterior ST-segment elevation myocardial infarction in cardiogenic shock. Coronary angiography revealed severe left main (LM) and triple-vessel disease, and the patient was refused for surgery due to lack of distal grafting landing zone. A shaft fracture occurred during LM percutaneous coronary intervention, leaving the fractured stent hanging in the aorta. This case highlights the successful retrieval of the fractured stent shaft using a snare technique.Key steps include coronary protection and bailout fixing with a stent in LM artery and use of snare technique to retrieve the shaft from the aorta. Potential pitfalls: Operators should avoid pulling the system when stent entrapment occurs. Take-home messages: Bailout access through the Impella sheath can be used in complication management. When stent entrapment occurs, use balloon trapping instead of pulling the entire system and protect coronary arteries with guidewires before proceeding with shaft extraction.pt_PT
dc.description.sponsorshipThis work was supported by Fundação para a Ciência e a Tecnologia (grant number UIDB/00306/2020).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJACC Case Rep. 2025;30:103123pt_PT
dc.identifier.doi10.1016/j.jaccas.2024.103123pt_PT
dc.identifier.eissn2666-0849
dc.identifier.urihttp://hdl.handle.net/10400.5/98319
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/jacc-case-reportspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectBalloon/stent shaft fracturept_PT
dc.subjectBailout techniquespt_PT
dc.subjectCalcified coronary lesionspt_PT
dc.titleWhen the shaft breaks: managing a cath lab nightmarept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberUIDB/00306/2020
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/Concurso de avaliação no âmbito do Programa Plurianual de Financiamento de Unidades de I&D (2017%2F2018) - Financiamento Base/UIDB%2F00306%2F2020/PT
oaire.citation.issue3pt_PT
oaire.citation.titleJACC: Case Reportspt_PT
oaire.citation.volume30pt_PT
oaire.fundingStreamConcurso de avaliação no âmbito do Programa Plurianual de Financiamento de Unidades de I&D (2017/2018) - Financiamento Base
person.familyNameOliveira
person.familyNameAzaredo Raposo
person.familyNamePinto
person.familyNameSilva Marques
person.givenNameCatarina
person.givenNameMiguel
person.givenNameFausto J.
person.givenNameJoão
person.identifier1308889
person.identifier2293713
person.identifier.ciencia-id201D-88DC-5C86
person.identifier.ciencia-idC311-AEDD-6DBB
person.identifier.orcid0000-0003-4857-0910
person.identifier.orcid0000-0002-1744-8843
person.identifier.orcid0000-0002-8034-4529
person.identifier.orcid0000-0001-8988-5412
person.identifier.ridG-9363-2015
person.identifier.scopus-author-id7102740158
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationfa741294-a45d-4d93-a3ad-34c345d1b28c
relation.isAuthorOfPublication0acbacea-532e-410d-894b-924fbabe662a
relation.isAuthorOfPublication5f44176f-69f5-482c-83cd-ab94425a6ec3
relation.isAuthorOfPublication71d45a81-823a-4f9b-9cb7-2290fbf2176a
relation.isAuthorOfPublication.latestForDiscovery5f44176f-69f5-482c-83cd-ab94425a6ec3
relation.isProjectOfPublicationa6594a68-a64a-445c-8f67-43cff0dc3631
relation.isProjectOfPublication.latestForDiscoverya6594a68-a64a-445c-8f67-43cff0dc3631

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
When_shaft.pdf
Tamanho:
1.7 MB
Formato:
Adobe Portable Document Format
Ver/Abrir
Licença
A mostrar 1 - 1 de 1
Miniatura indisponível
Nome:
license.txt
Tamanho:
1.2 KB
Formato:
Item-specific license agreed upon to submission
Descrição:
Ver/Abrir

Coleções

FM-CCUL-Artigos em Revistas Internacionais