Consequences and management of guidewire fracture-entrapment in the left circumflex artery: a case report.

ABSTRACT:

Background

Entrapment and fracture of the coronary guidewire are rare but major complications of percutaneous coronary intervention (PCI). The incidence of these complications is reported to be <1%.

Case summary

A 52-year-old male patient with diabetes and dyslipidaemia presented with posterior wall myocardial infarction. An angiogram revealed occlusion in the left circumflex (LCX) artery. Attempts to pass a guidewire through the lesion led to its entrapment and eventual fracture. Several techniques and manoeuvres failed to retrieve the fractured guidewire, which remained lodged in the LCX. An endovascular snare catheter also proved unsuccessful. The fragment was eventually removed using the triple-wire technique, although this caused coronary perforation and dissection. The

SUBMITTER: Paul M 

PROVIDER: S-EPMC11299023 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature