Management of Guidewire Entrapment and Fracture During Percutaneous Coronary Intervention: When All Bailout Techniques Fail!

IF 0.8 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Texas Heart Institute journal Pub Date : 2023-03-01 DOI:10.14503/THIJ-21-7685

Tushar Sharma, Brad Pfeffer, Christopher C Kwon, Abdulla A Damluji

引用次数: 0

Abstract

A 55-year-old man presented with chest pain and was diagnosed with non-ST-segment elevation myocardial infarction. Coronary angiography revealed a 95% eccentric lesion in the mid-right coronary artery. After 3 intracoronary stents were placed, the guidewire became entrapped in 1 of the stents; multiple attempts at retrieval were unsuccessful. Ultimately, the guidewire fractured, and a coronary artery bypass graft surgery was performed to remove the guidewire fragments. This report reviews the procedural steps for wire retrieval that are critical for operators to avoid coronary artery bypass surgery.

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经皮冠状动脉介入治疗中导丝夹持和骨折的处理:当所有救助技术失败!

一个55岁的男性表现为胸痛，并被诊断为非st段抬高心肌梗死。冠状动脉造影显示右中冠状动脉95%偏心病变。置入3个冠状动脉内支架后，1个支架内导丝被夹持;多次检索尝试均未成功。最终，导丝断裂，并进行冠状动脉搭桥手术去除导丝碎片。这篇报告回顾了金属丝回收的程序步骤，这对于手术者避免冠状动脉搭桥手术至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Texas Heart Institute journal 医学-心血管系统

CiteScore

1.10

自引率

11.10%

发文量

131

审稿时长

2 months

期刊介绍： For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease. The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central. The Journal invites authors to submit these article types for review: -Clinical Investigations- Laboratory Investigations- Reviews- Techniques- Coronary Anomalies- History of Medicine- Case Reports/Case Series (Submission Fee: $70.00 USD)- Images in Cardiovascular Medicine (Submission Fee: $35.00 USD)- Guest Editorials- Peabody’s Corner- Letters to the Editor