TY - JOUR
T1 - Management of Guidewire Entrapment and Fracture During Percutaneous Coronary Intervention
T2 - When All Bailout Techniques Fail!
AU - Sharma, Tushar
AU - Pfeffer, Brad
AU - Kwon, Christopher C.
AU - Damluji, Abdulla A.
N1 - Funding Information:
Funding/Support: Dr Damluji receives research funding from the Pepper Scholars Program of the Johns Hopkins University Claude D. Pepper Older Americans Independence Center, funded by the National Institute on Aging grant P30-AG021334.
Publisher Copyright:
© 2023 by The Texas Heart® Institute, Houston.
PY - 2023/3
Y1 - 2023/3
N2 - A 55-year-old man presented with chest pain and was diagnosed with non–ST-segment elevation myocardial infarction. Coronary angiography revealed a 95% eccentric lesion in the mid-right coronary artery. After 3 intracoronary stents were placed, the guidewire became entrapped in 1 of the stents; multiple attempts at retrieval were unsuccessful. Ultimately, the guidewire fractured, and a coronary artery bypass graft surgery was performed to remove the guidewire fragments. This report reviews the procedural steps for wire retrieval that are critical for operators to avoid coronary artery bypass surgery.
AB - A 55-year-old man presented with chest pain and was diagnosed with non–ST-segment elevation myocardial infarction. Coronary angiography revealed a 95% eccentric lesion in the mid-right coronary artery. After 3 intracoronary stents were placed, the guidewire became entrapped in 1 of the stents; multiple attempts at retrieval were unsuccessful. Ultimately, the guidewire fractured, and a coronary artery bypass graft surgery was performed to remove the guidewire fragments. This report reviews the procedural steps for wire retrieval that are critical for operators to avoid coronary artery bypass surgery.
KW - Intraoperative complications
KW - angioplasty, balloon, coronary
KW - percutaneous coronary intervention
UR - http://www.scopus.com/inward/record.url?scp=85151726834&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85151726834&partnerID=8YFLogxK
U2 - 10.14503/THIJ-21-7685
DO - 10.14503/THIJ-21-7685
M3 - Article
C2 - 37011365
AN - SCOPUS:85151726834
SN - 0730-2347
VL - 50
JO - Texas Heart Institute Journal
JF - Texas Heart Institute Journal
IS - 2
M1 - e217685
ER -