Escaping a Nightmare: Successfully Retrieving a Fractured Guidewire During Percutaneous Coronary Intervention
Sanjay Kumar Sharma
TL;DR
This paper describes a rare case where a fractured guidewire during heart surgery was successfully removed using a specialized device.
Contribution
The novel use of a neurovascular device to retrieve a fractured guidewire during PCI is highlighted.
Findings
A fractured guidewire was safely retrieved during PCI in a 44-year-old male patient.
The retrieval was accomplished using a 4×40 mm Solitaire device.
The procedure avoided complications like thrombosis or vessel occlusion.
Abstract
A guidewire fracture seldom occurs as a complication of percutaneous coronary intervention (PCI). Guidewire fragments retained in the coronary tree can result in thrombosis, embolic phenomena, dissection, perforation, and vessel occlusion. This study represents a rare incidence of fractured guide wire, which occurred during PCI in a 44-year-old male due to the acute angle and heavy calcification which was safely and successfully retrieved using a 4×40 mm Solitaire device (Irvine, CA: Medtronic) (neurovascular remodeling device).
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Taxonomy
TopicsCardiac, Anesthesia and Surgical Outcomes · Cardiac Imaging and Diagnostics · Coronary Interventions and Diagnostics