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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Reference
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