Uspešno izvlačenje odljuštenog spoljašnjeg sloja dijagnostičke koronarne žice J-tipa iz leve poplitealne arterije tokom elektivne koronarne angiografije

Miodrag Damjanović; Sonja Šalinger-Martinović; Danijela Djordjević-Radojković; Goran Koraćević; Vladimir Miloradović

doi:10.2298/3537

Miodrag Damjanović Clinic for Cardiovascular Diseases, Clinical Center of Niš, Niš, Serbia
Sonja Šalinger-Martinović Clinic for Cardiovascular Diseases, Clinical Center of Niš, Niš, Serbia
Danijela Djordjević-Radojković Clinic for Cardiovascular Diseases, Clinical Center of Niš, Niš, Serbia
Goran Koraćević Clinic for Cardiovascular Diseases, Clinical Center of Niš, Niš, Serbia
Vladimir Miloradović Clinic for Cardiology, Clinical Center of Kragujevac, Kragujevac, Serbia

DOI: https://doi.org/10.2298/3537

Ključne reči: coronary angiography||, ||angiografija koronarnih arterija, intraoperative complications||, ||intraoperativne komplikacije, treatment outcome||, ||lečenje, ishod,

Sažetak

Uvod. Blokiranje i fraktura dijagnostičkih ili terapijskih sredstava unutar koronarne cirkulacije je redak, ali rastući problem. Prikaz bolesnika. Muškarac, star 70 godina, primljen je u našu kliniku zbog koronarne angiografije pre planirane zamene aortnog zaliska. Arterijski uvodnik je najpre postavljen u desnu zajedničku femoralnu arteriju. Posle uvođenja J-tipa dijagnostičke koronarne žice vodiča u aortu i navlačenja levog Judkins dijagnostičkog katetera preko žice, iznenada je došlo do odljuštenja hidrofilnog sloja žice na nivou aortnog luka. Vrlo brzo ovaj spoljni omotač žice nošen krvnom strujom ušao je u levu femoralnu arteriju, a onda u levu poplitealnu arteriju. Odljušteni deo koronarne žice je uspešno uhvaćen i izvučen napolje korišćenjem katetera u obliku guščjeg vrata. Zaključak. Iznenadno odljuštenje spoljašnjeg sloja dijagnostičke hidrofilne koronarne žice sa J-vrhom tokom koronarne angiografije moguće je rešiti brzo i uspešno pomoću običnog katetera.

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