Akut Miyokart İnfarktüslü Yaşlı Hastada Kopan Kılavuz Kateterin Dışarı Alınması

Yıl 2016, Cilt: 19 Sayı: 1, 47 - 49, 04.04.2016

Müslüm Şahin Hasan Erdem Şehmus Külahcıoğlu Mehmet Kalender Rezzan Deniz Acar

Öz

Yaşlı hastalarda tanısal koroner
anjiyografi ve perkütan koroner girişimlerin 
artması,  çok nadir görülen
komplikasyonların artmasına yol açabilir. Bu olguda akut inferiyor miyokart
infarktüsü ile başvuran yaşlı hastada kopan kılavuz kateterin dışarı alınmasını
tartıştık.

Anahtar Kelimeler

Komplikasyon, kılavuz kateterin kopması, miyokart infarktüsü, yaşlı hasta

Extraction of a Fragmented Guiding Catheter in Elderly Patients with Myocardial Infarction

Öz

Because of the increasing
number of elderly patients undergoing diagnostic coronary angiography and
percutaneous coronary intervention, the incidence of rare complications might
increase. Here, we discuss the management of a fragmented guiding catheter in
elderly patients with inferior myocardial infarction.

Anahtar Kelimeler

Complication, fragmented guiding catheter, myocardial infarction, elderly patient

Kaynakça

• 1. Kinsella K. Urban and rural dimensions of global population aging: an overview. J Rural Health 2001;17:314-22.
• 2. Kochanek KD, Smith BL. Deaths: preliminary data for 2002. Natl Vital Stat Rep 2004;52:1-47.
• 3. Shanmugasundaram M. Percutaneous coronary intervention in elderly patients: is it benefical ? Tex Heart Inst J 2011;38:398-403.
• 4. Rathore SS, Mehta RH, Wang Y, Radford MJ, Krumholz HM. Effects of age on the quality of care provided to older patients with acute myocardial infarction. Am J Med 2003;114:307-15.
• 5. Sheifer SE, Rathore SS, Gersh BJ, Weinfurt KP, Oetgen WJ, Breall JA, et al. Time to presentation with acute myocardial infarction in the elderly: associations with race, sex, and socioeconomic characteristics. Circulation 2000;102:1651-6.
• 6. Sen T, Aksu T, Parspur A, Kilit C. Broken guidewire during primary percutaneous coronary intervention. Anadolu Kardiyol Derg 2012;12:7-8.
• 7. Muraoka A, Konishi H, Kaminishi Y, Misawa Y. Surgical removal of a fractured guidewire entrapped in the coronary artery. Gen Thorac Cardiovasc Surg 2011;59:709-11.
• 8. Kim JH, Kim GH, Moon KW. Succesful transradial retrieval of broken catheter fragment during transradial coronary angiography. J Invasive Cardiol 2012;24:74-5.
• 9. Kyriakides ZS, Bellenis IP, Caralis DG. Catheter separation during cardiac catheterization and coronary angiography. A report of four incidents and review of the literature. Angiology 1986;37:762-5.
• 10. Cantarelli MJ, de Paola Ade A, Alves CM, Souza JA, Castello Júnior HJ, Hermann JL, et al. Percutaneous retrieval of intravascular foreign bodies. Arq Bras Cardiol 1993;60:171-5.