Case study: Twin guidewire method for retrieval of guidewire fragment in the coronary system
Guidewire loss complications
Consult this clinical case on a 70-year-old male by J. Maia from EuroPCR 2018 on the twin guidewire method for the retrieval of a guidewire fragment in the coronary system.
The twin guidewire method is a simple, effective, low cost and low risk technique which can be a good choice to retrieve devices or fragments from the coronary artery, even in distal segments or challenging situations.
Disclaimer
This case report does not reflect the opinion of PCR or PCRonline, nor does it engage their responsibility.
25 Feb 2019
Case study: Twin guidewire method for retrieval of guidewire fragment in the coronary system
Guidewire loss complications
Consult this clinical case on a 70-year-old male by J. Maia from EuroPCR 2018 on the twin guidewire method for the retrieval of a guidewire fragment in the coronary system.
Author
State of Paraná, Brazil
Latest contributions
Case study: Twin guidewire method for retrieval of guidewire fragment in the coronary systemBy J. Maia
Clinical presentation
Coronary angiogram
*Carbostent Sirius™ 3.0 x 9mm previously on proximal LAD
*Carbostent Sirius™ 3.0 x 9mm previously on proximal LAD
Mild disease of RCA
Mild disease of RCA
Fractional Flow Reserve (FFR)
The strategy is a bifurcation PCI with double stent technique
The strategy is a bifurcation PCI with double stent technique
Procedure
The distal tip of the guidewire entered through the stent struts and got entrapped into a small septal branch.
Traction caused the disruption in the guidewire main body spiral
Traction caused the disruption in the guidewire main body spiral
Consult the editorial webcast of this clinical case during the EuroPCR 2018 session on Lost and found I: management of broken guidewires
Twin guidewire method
Snare retrieval x twin guidewire method
Snare retrieval x twin guidewire method
Twin guidewire method
Twin guidewire method
Bifurcation PCI
TAP (T and small protusion) technique and final kissing balloon.
2.5 x 28mm DES
2.5 x 28mm DES
2.75 x 18mm DES
2.75 x 18mm DES
2.75 x 18mm DES
2.75 x 18mm DES
2.75 x 8mm / 2.5 x 8mm DES
2.75 x 8mm / 2.5 x 8mm DES
Final angiographic result
Pre-procedure
Pre-procedure
Final result
Final result
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