Rupture of guide wire during percutaneous transluminal coronary angioplasty

Pk, Ghosh; Alber, G; Schistek, R; Unger, Felix

doi:10.1016/s0022-5223(19)34588-x

Cited by 19 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 7 A retained coronary guidewire or guidewire remnants can lead to various complications including acute thrombosis or perforation of the coronary artery involved and systemic thrombo-embolization, leading to cerebrovascular accident (CVA). 8 , 9 …”

Section: Discussionmentioning

confidence: 99%

A missing coronary guidewire mimicking aortic dissection—a case report

Arow,

Bar Sef,

Assali

et al. 2024

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Background A retained coronary guidewire following coronary angiography is an extremely rare complication. We present a case of a retained coronary guidewire from a percutaneous coronary intervention done 2 years ago. Case summary An 80-year-old asymptomatic man with a history of ischemic heart disease and moderate aortic stenosis presented to the echocardiography lab for routine follow up. Transthoracic echocardiography (TTE) showed Moderate aortic stenosis and a suspected linear echogenic structure in the ascending aorta. trans-esophageal echocardiography (TEE) was performed to reveal a mobile and linear echogenic structure originating from the sinuses of Valsalva/Sinotubular junction (STJ) and extending to the ascending aorta. An ECG gated cardiac computed tomography (CT) was performed and showed A linear well-defined structure originating from the ostium of the LM coronary artery and extending to the ascending aorta - a coronary guidewire from an earlier procedure. A second look on the last invasive coronary angiography record demonstrated the same finding. A multidisciplinary heart team discussion was obtained and concluded that the risk of surgical or endovascular intervention outweighed the potential benefit. The patient was discharged home for a close clinical and echocardiographic follow up. Conclusion A retained coronary guidewire is a rare complication that operators should be aware of. Management should be case-specific depending on clinical presentation.

show abstract

Section: Discussionmentioning

confidence: 99%

A missing coronary guidewire mimicking aortic dissection—a case report

Arow,

Bar Sef,

Assali

et al. 2024

European Heart Journal - Case Reports

View full text Add to dashboard Cite

show abstract

“…Retained guidewire fragments in the coronary tree can lead to lifethreatening complications such as perforation, dissection, vessel occlusion, thrombosis, and embolism. 11 A guide catheter can be wedged over the entrapped guidewire, followed by balloon inflation at the terminal part, thus trapping the wire. The whole system can then be retracted together.…”

Section: Discussionmentioning

confidence: 99%

Surgical management for a retained guidewire in vivo during percutaneous coronary interventions following acute myocardial infarction from descending thoracic aorta to external iliac artery: a case report

Hossain,

Reza,

Sarker

et al. 2024

Int J Sci Rep

View full text Add to dashboard Cite

This case report describes the unique presentation of a 60-year-old woman who was referred from the cardiology department due to the retention of a guidewire following a coronary angiogram. The guidewire was inadvertently left in the right external iliac artery after the angiogram procedure. This report discusses the clinical presentation, diagnostic procedures, and successful management of this case without unusual complication. The successful removal of the retained guidewire culminated in a favourable outcome for the patient. Efforts to extract residual guide-wire fragments from the coronary circulation are generally the preferred course of action. Nevertheless, certain case reports and series have proposed that, in carefully selected patients, leaving the guide-wires in situ without attempting extraction may be a reasonable option when the likelihood of successful removal appears remote, considering anatomical and technical factors. For such cases, a more suitable approach involves administering systemic anticoagulation and antiplatelet agents, coupled with vigilant follow-up.

show abstract

“…Retention of angioplasty guidewires is estimated to occur in less than 0.1% of all PCI procedures, with the most common mechanism being over-rotation or entrapment of the distal tip of the wire (1). Most such reports involve the fracture of a short segment of the distal portion of the guidewire-which has the greatest flexibility and is most prone to breakage-and is then trapped within the coronary circulation (2,3). The retention of such a long section of wire and extension to the T7 intervertebral artery is a previously unreported phenomenon.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta

et al. 2022

View full text Add to dashboard Cite

A retained angioplasty wire is rarely described, and there are no guidelines as to how it should be managed. Thus the management of this complication remains highly individualized. In the present instance, a 74-year-old woman was found on routine transthoracic echocardiography to have a linear echogenic structure that was initially concerning for a dissection flap. A computed tomography angiogram of the aorta revealed a linear density that followed the curvature of the aortic arch, which was concerning for a retained angioplasty wire from a percutaneous coronary intervention done 11 years earlier. Because the patient had not reported any symptoms, a multidisciplinary decision was made to defer any surgical intervention.

show abstract

Rupture of guide wire during percutaneous transluminal coronary angioplasty

Cited by 19 publications

References 8 publications

A missing coronary guidewire mimicking aortic dissection—a case report

A missing coronary guidewire mimicking aortic dissection—a case report

Surgical management for a retained guidewire in vivo during percutaneous coronary interventions following acute myocardial infarction from descending thoracic aorta to external iliac artery: a case report

An Unusual Case of an Incidentally Detected Angioplasty Wire in the Aorta

Contact Info

Product

Resources

About