Extracción de un cuerpo extraño de la arteria descendente anterior: un caso clínico

Abstract

In this paper we present the case of an 89-year-old patient undergoing cardiac catheterization, in which an important severe coronary calcification was observed throughout the area of the anterior descending artery. Assessing the patient‘s clinical situation and, after discussion by the multidisciplinary team, percutaneous intervention was decided to treat this injury, during the course of which an unusual complication occurred, that is, rupture of the balloon tube, becoming trapped inside said artery. This unexpected event made it necessary to proceed with the extraction of said «foreign body» via different techniques, finally using the double-guidewire technique plus trapping, with which the complication could be resolved and the foreign body extracted, with no angiographic data of dissection, perforation, or thrombosis, with an open artery and reasonable distal flow, although severe stenosis of the vessel persisted Marjory Gordon‘s functional health patterns were used to carry out the assessment and resolution of the patient‘s health problems by applying the NANDA, NOC, and NIC taxonomies, formulating the diagnoses of risk of deterioration of skin integrity, risk of peripheral tissue dysfunction, risk of infection, risk of bleeding and anxiety. In addition, results were proposed along with their evaluable indicators and some nursing activities to resolve these problems. This clinical case presents a rare complication that can arise during an angioplasty procedure and serves to highlight the importance of good care planning.