Surgical Removal of Guidewire Fragment Following Transluminal Coronary Angioplasty

Proctor, Michael S.; Koch, Lear Von

doi:10.1016/s0003-4975(10)64776-5

Cited by 8 publications

(3 citation statements)

References 4 publications

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“…Taking under consideration the typically complex clinical background appears to be of particular importance. The problem may pertain to any artery, and the management method is individualised based on the perioperative course and the risk of potential complications [ 4 – 6 ]. In most cases in which part of the guidewire becomes separated, the separation occurs before the implantation of the stent; however, there are reports describing instances in which the guidewire became wedged in the vessel after the intervention [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical removal of entrapped guidewire fragment following direct circumflex artery angioplasty and stenting

Domaradzki

Sanetra

Skwarna

et al. 2015

kitp

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We present a case of a 64-year-old man with coronary artery disease, who underwent a percutaneous coronary intervention of the circumflex artery. As the guidewire was being withdrawn from the target vessel, it became entrapped by the structure of the previously implanted stent. Attempts to retrieve the foreign body were unsuccessful. Changes in electrocardiogram were observed during the procedure, and the level of cardiac biomarkers increased within the next 24-hours. The patient was admitted to the Cardiac Surgery Department. Remnants of the foreign body were removed under visual control using extracorporeal circulation, and coronary artery bypass grafting was performed. Treatment options and outcomes are discussed.

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Section: Discussionmentioning

confidence: 99%

Surgical removal of entrapped guidewire fragment following direct circumflex artery angioplasty and stenting

Domaradzki

Sanetra

Skwarna

et al. 2015

kitp

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“…Different treatments have been performed to cure these complications. These treatment modalities are to remove fractured segments by catheter besides surgery [8,9]. It has been reported that catheter fragments are successfully removed with snare [10,11] or stent deployment in the guiding catheter [7].…”

Section: Discussionmentioning

confidence: 99%

Removal of fractured balloon catheter using another balloon inflation in coronary artery: Case report

Soylu

Özdemi̇r

Düzenli

2006

International Journal of Cardiology

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“…Some authors feel that surgical removal of the retained intracoronary segments is mandatory, because of the potential for coronary thrombosis [2] or arterial perforation [l]. Many patients with this complication require cardiac surgical revascularization at any rate because the angioplasty procedure was unsuccessful [1,2,[4][5][6]8,11,12,[14][15][16][17], and thus removal of the retained fragment can be carried out intraoperatively .…”

Section: Introductionmentioning

confidence: 99%

Fractured and retained guide‐wire fragment during coronary angioplasty—unforeseen late sequelae

Doorey¹,

Stillabower²

1990

Cathet. Cardiovasc. Diagn.

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During a difficult coronary angioplasty, the tip of the guide wire became inadvertently wedged in a distal vessel, fractured, and retained in situ. Because of the otherwise successful nature of the angioplasty and the patient's great risk for cardiac surgery, it was elected to leave the wire fragment in place. Recurrence of symptoms led to recatheterization, which in addition to restenosis of the original angioplasty site showed diffuse narrowing of the arterial segment that contained the retained wire fragment. This occurred despite systemic anticoagulation with Coumadin in the interval between procedures. Thus retained guide wire fragments in patent coronary arteries may cause arterial narrowing despite systemic anticoagulation.

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Surgical Removal of Guidewire Fragment Following Transluminal Coronary Angioplasty

Cited by 8 publications

References 4 publications

Surgical removal of entrapped guidewire fragment following direct circumflex artery angioplasty and stenting

Surgical removal of entrapped guidewire fragment following direct circumflex artery angioplasty and stenting

Removal of fractured balloon catheter using another balloon inflation in coronary artery: Case report

Fractured and retained guide‐wire fragment during coronary angioplasty—unforeseen late sequelae

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