• Coronary Guidewire Fractured in the Aorta Outside the Guide Catheter: Acute Stent Thrombosis and Successful Guidewire Retrieval Using a Novel “Spaghetti Technique”

    Introduction

    Complications of percutaneous coronary intervention have a significant impact on patient survival. One of these complications is the guidewire fracture outside the guide catheter and protruding into the aorta. In such cases if equipment cannot be retrieved by a snare, surgery for wire extraction should be considered [  ]. We present a case of a primary angioplasty over a left circumflex in which part of the coronary guidewire was stuck in the stent and proximally fractured in the humeral artery outside the guide catheter. This fractured guidewire could not be recovered using standard snare retrieval techniques. During these unsuccessful maneuvers, an acute stent thrombosis of the previously implanted stent occurred. Stent thrombosis could be successfully treated, and the fractured guidewire was finally easily recovered with a new technique that we have called the “spaghetti technique”.

    Author bio

    Cardiovascular Revascularization Medicine, Volume 28, Supplement, July 2021, Pages 121-124

    Source:

    Read the full article on Science Direct: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S1553838921002177?returnurl=null&referrer=null

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