Management of this complication could be by leaving the wire alone, percutaneous retrieval of the fractured segment, use of stent to crush the wire, or open heart surgery
In our case the use of stent to crush / jail the wire has been a safe approach and no short or intermediate term complications reported so far
Disclaimer
This case report does not reflect the opinion of PCR or PCRonline, nor does it engage their responsibility.
01 Mar 2019
Case study: coronary guidewire core fracture during PCI
Guidewire loss complications
Consult this clinical case by A. Muhammad and D. Sharman of a 66-year-old female patient on how to manage a guidewire knot and fracture!
Author
NORTHAMPTONSHIRE, United Kingdom
Latest contributions
Case study: coronary guidewire core fracture during PCIBy A. Muhammad
Clinical presentation
Procedure
Coronary angiogram
PCI to posterior descending artery
Wire knotted while recrossing after DES implant
Discover the editorial webcast from EuroPCR 2018 on Lost and found I: management of broken guidewires
Guidewire breaks, unable to retrieve
Thin outer strand of wire jailed with DES in mid right coronary artery and then completely snapped using trap balloon
Final angiographic result
OCT confirms wire secured in artery and final angiographic appearance.
Conclusion: Follow-up
Key message
Disclaimer
This case report does not reflect the opinion of PCR or PCRonline, nor does it engage their responsibility.
Continue reading
Guidewire complications: jailed wire behind stent struts Guidewire complications: jailed wire in situ Guidewire complications: free intracoronary fractured wire segmentAdditional Links
Snaring technique: Trifold Snaring technique: GooseNeck Multiwire technique for GW retrieval Trapping guide extension catheter technique Thrombo aspiration References: coronary guidewire loss