Evidence map›Paper›PMID 39963209›Full record

ArticleJACC. Case reports2025

When the Shaft Breaks: Managing a Cath Lab Nightmare.

Catarina Oliveira, Miguel Raposo, José Marques da Costa, Fausto J Pinto, João Silva Marques

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Catarina OliveiraServiço de Cardiologia, Departamento de Coração e Vasos, Centro Hospitalar Universitário de Lisboa Norte Hospital de Santa Maria, Av Prof Egas Moniz, Lisboa, Portugal.
Miguel RaposoServiço de Cardiologia, Departamento de Coração e Vasos, Centro Hospitalar Universitário de Lisboa Norte Hospital de Santa Maria, Av Prof Egas Moniz, Lisboa, Portugal.
José Marques da CostaServiço de Cardiologia, Departamento de Coração e Vasos, Centro Hospitalar Universitário de Lisboa Norte Hospital de Santa Maria, Av Prof Egas Moniz, Lisboa, Portugal.
Fausto J PintoServiço de Cardiologia, Departamento de Coração e Vasos, Centro Hospitalar Universitário de Lisboa Norte Hospital de Santa Maria, Av Prof Egas Moniz, Lisboa, Portugal.
João Silva MarquesServiço de Cardiologia, Departamento de Coração e Vasos, Centro Hospitalar Universitário de Lisboa Norte Hospital de Santa Maria, Av Prof Egas Moniz, Lisboa, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We describe the case of a 57-year-old male patient with anterior ST-segment elevation myocardial infarction in cardiogenic shock. Coronary angiography revealed severe left main (LM) and triple-vessel disease, and the patient was refused for surgery due to lack of distal grafting landing zone. A shaft fracture occurred during LM percutaneous coronary intervention, leaving the fractured stent hanging in the aorta. This case highlights the successful retrieval of the fractured stent shaft using a snare technique.Key steps include coronary protection and bailout fixing with a stent in LM artery and use of snare technique to retrieve the shaft from the aorta. Potential Pitfalls: Operators should avoid pulling the system when stent entrapment occurs. Take-Home Messages: Bailout access through the Impella sheath can be used in complication management. When stent entrapment occurs, use balloon trapping instead of pulling the entire system and protect coronary arteries with guidewires before proceeding with shaft extraction.

Indexed as

bailout techniquesballoon/stent shaft fracturecalcified coronary lesions

Identifiers

PMID39963209
PMCPMC11830262

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.