IVUS Catheter Entrapment and Percutaneous Retrieval. Case Report and Literature Review

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ID: 315677
2026
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Abstract
Abstract Background 2024 ESC Guidelines for the management of chronic coronary syndromes updated their recommendation for Intravascular Ultrasound (IVUS) guidance of PCI on anatomically complex lesions, particularly Left Main, bifurcations and long lesions to class 1, level A evidence1. With more widespread use complex PCI operators are more likely to encounter complications and require an awareness of potential solutions. Case Summary A 66-year-old male presented with non-ST elevation acute coronary syndrome. Following PCI to the Left Main Stem the unusual complication of a trapped IVUS catheter was encountered. This was successfully retrieved by balloon trapping and pull-back method. Discussion Literature review demonstrates that IVUS entrapment during complex PCI is an uncommon complication. Heavily calcified lesions, stents <2.5mm and 3rd Generation DES are considered risk factors. Several potential options for retrieval such as balloon trapping and use of Guide extension catheters have been described. This is the first reported case of IVUS entrapment in a large stent in Left Main Stem (LMS).
Reference Key
openalex_W7163423323 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors F Corvan, Amy Peace, Jack Andrews
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag351
URL
https://doi.org/10.1093/ehjcr/ytag351
Keywords Keywords not found

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