Device entrapment during percutaneous coronary intervention
Jorge Sanz‐Sánchez, Kambis Mashayekhi, Pierfrancesco Agostoni, Mohaned Egred, Alexandre Avran, Arun Kalyanasundaram, Roberto Garbo, Antonio Colombo, Damiano Regazzoli, Bernhard Reimers, Emmanouil S. Brilakis, Gabriele Gasparini
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.