Lost guidewire retrieved by trapping guide extension catheter technique

Coronary guidewire loss complications

Herein we have presented a retrieval method involving a guide extension catheter together with balloon jailing of the fractured wire segment for retrieval.

If a part of the wire fragment is still in the guiding catheter, it could be removed entrapping it between an inflated balloon in the guiding catheter and the wall of catheter. If the fragment inside the guiding catheter is shorter, a guide extension catheter attempt is made to get the proximal part of the fractured wire into the guiding extension catheter. Then it can be entrapped with an inflated balloon for final extraction.

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