Successful non-surgical management of entrapped hydrophilic guidewire during percutaneous coronary intervention

Guidewire breaking or entrapment during the procedure is a rare but well-reported complication of percutaneous coronary intervention. The entrapped guidewire can be managed through intervention, surgery or conservatively depending upon the clinical situation and position of the guidewire. However, t...

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Bibliographic Details
Published inInterventional cardiology Vol. 6; no. 5; pp. 411 - 414
Main Authors Porwal, Sanjay C, Modi, Ranjan, Patted, Suresh V, Halkatti, Prabhu C, Thakkar, Ashok, Sarang, Arohi
Format Journal Article
LanguageEnglish
Published London Future Medicine Ltd 01.10.2014
Subjects
Balloon angioplasty
Care and treatment
Case studies
Diagnosis
Health aspects
hydrophilic guidewire
management of entrapped guidewire
Patient outcomes
percutaneous coronary intervention
Risk factors
Thrombosis
India
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Summary:Guidewire breaking or entrapment during the procedure is a rare but well-reported complication of percutaneous coronary intervention. The entrapped guidewire can be managed through intervention, surgery or conservatively depending upon the clinical situation and position of the guidewire. However, the entrapped guidewire leads to serious complications such as thrombosis, occlusion of the coronary vessel or systemic embolism. As far as the authors' knowledge is concerned, there is no guideline available for optimal management of entrapped guidewire even though such cases have been reported since the beginning of percutaneous intervention era. Here the authors present a case of hydrophilic guidewire entrapment where a different technique for removal was used.
ISSN:1755-5302
1755-5310
DOI:10.2217/ica.14.43