Rescuing an Entrapped Guidewire Using a Tornus Catheter

Cho, Yun Hyeong; Park, Sungha; Kim, Jung Sun; Lee, Seung Yul; Choi, Donghoon; Jang, Yangsoo; Cho, Seung Yun

doi:10.1253/circj.71.1326

Cited by 18 publications

(12 citation statements)

References 3 publications

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“…Several percutaneous techniques used for retrieval of entrapped guide-wire fragments including stenting against the vessel wall (7 cases) [12, 15-19], snare loop (9 cases) [1, 20-25], double or triple wire technique (3 cases) [7, 26, 27], bioptome (1 case) [1], tornus micro-catheter (1 case) [28], deep-guide catheter wedging with balloon inflation (6 cases) [1, 3, 29, 30] and pigtail catheter (1 case) [6]. …”

Section: Resultsmentioning

confidence: 99%

“…This is a method used if the wire is still intact and the guide is over-wedged, then the balloon is advanced and inflated at the terminal part of the guide catheter and is tightly trapping the wire and the whole system is retracted to pull out the retained wire [1, 3, 29, 30]. Another method to free the retained wire is the use of tornus micro-catheter, in which the micro-catheter is advanced with particular rotations to the tip of the wire to allow for the release of the jailed or entrapped part [28]. …”

Section: Management Strategies Of Retained Guide Wire Remnantsmentioning

confidence: 99%

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Management of Retained Intervention Guide-wire: A Literature Review

Almoghairi

Alamri²

2013

CCR

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Percutaneous coronary angioplasty is increasingly employed in the treatment of patients with complex coronary artery disease. Different steerable guide wires used to open occluded vessel and facilitate balloon and stent deployment. However, the guide-wire itself is not without hazard: it may perforate or dissect the vessel, but fracture or entrapment is uncommon. Its management depends on the clinical situation of the patient, as well as the position and length of the remnant. In this review we discuss the angioplasty guide-wire fracture and entrapment risk factors, potential risks and management.

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Section: Resultsmentioning

confidence: 99%

Section: Management Strategies Of Retained Guide Wire Remnantsmentioning

confidence: 99%

Management of Retained Intervention Guide-wire: A Literature Review

Almoghairi

Alamri²

2013

CCR

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“…However, the surgery should be considered after failures of interventional methods, and there are no guidelines for surgical indications 9). Percutaneous retrieval techniques of fractured guidewires include the use of snare loop or goose-neck snare, double or triple wire rotation,10) use of tornus catheter,11) use of a balloon as a wedge for extracting guidewire fragments12) and biopsy forceps 13). These techniques may be difficult and time-consuming for inexperienced cardiologists, and furthermore, they can cause endothelial injury, dissection and thrombosis 14)…”

Section: Discussionmentioning

confidence: 99%

Fatal Subacute Stent Thrombosis Induced by Guidewire Fracture with Retained Filaments in the Coronary Artery

Kim

Park

et al. 2013

Korean Circ J

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During percutaneous coronary intervention, guidewire fractures are very exceptionally encountered in medical practice, but can cause fatal complications such as intracoronary thrombus formation, embolization and perforation. Removal of the remnant segments of guidewire is important for the prognosis. There are several methods being recommended for the treatment of fractured guidewire remnants. However, the best treatment of remnant guidewire filament is still unclear. Herein, we present a case where we did not completely remove remnant guidewire filaments that caused fatal coronary thrombosis.

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“…Knotted or lost guidewires can often be retrieved by using three 'crossed' wires to grasp the wire and withdraw it [64]. Alternatively, items, such as a Tornus ® catheter, snare or loop, can be used to grasp the wire [65][66][67]. Stents can be employed for vessel injury, particularly for dissection.…”

Section: Percutaneousmentioning

confidence: 99%

Guidewires in clinical practice: applications and troubleshooting

Kipling¹,

Mohammed²,

Medding

2009

Expert Review of Medical Devices

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Guidewires are commonly used in clinical practice over a wide range of specialties. Their use has become more popular as a result of advances in endourology and interventional radiology, as well as in angiographic procedures. While there are many papers regarding individual guidewires and certain technical aspects, for the interested clinician there is little to give a generalized overview within the literature. This paper aims to review guidewires in terms of their make-up, applications and potential complications. Technical points are described, as well as rescue methods for complications, in the hope of preventing future litigation for those reading the paper.

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Rescuing an Entrapped Guidewire Using a Tornus Catheter

Cited by 18 publications

References 3 publications

Management of Retained Intervention Guide-wire: A Literature Review

Management of Retained Intervention Guide-wire: A Literature Review

Fatal Subacute Stent Thrombosis Induced by Guidewire Fracture with Retained Filaments in the Coronary Artery

Guidewires in clinical practice: applications and troubleshooting

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