Left main approach for retrieval of retained guidewire fragment.

Abstract

Entrapment and detachment of guidewire fractures during percutaneous coronary intervention (PCI) are very rare, but can lead to life-threatening complications such as embolization, thrombus formation, and perforation. Surgical extraction of the remnant fragments is recommended if the percutaneous retrieval is not possible. We present a case of remnant guidewire into the left anterior descending artery (LAD) and aorta that led to acute coronary thrombosis following primary angioplasty. Surgical retrieval was possible only through a left main (LM) approach.

• Authors: Hussein S Al-Amri, Abdulrahman M AL-Moghairi, Antonio M Calafiore
• Journal: Journal of cardiac surgery (J Card Surg) Vol. 27 Issue 3 Pg. 307-8 (May 2012) ISSN: 1540-8191 [Electronic] United States
• PMID: 22176466 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2011 Wiley Periodicals, Inc.

Topics

• Adult
• Angioplasty, Balloon, Coronary (adverse effects, instrumentation)
• Anterior Wall Myocardial Infarction (diagnostic imaging, surgery)
• Aorta (surgery)
• Aortography
• Coronary Angiography
• Coronary Thrombosis (etiology, surgery)
• Coronary Vessels (pathology, surgery)
• Foreign Bodies (diagnostic imaging, etiology, surgery)
• Humans
• Male