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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

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Entrapment of hydrophilic coated coronary guidewire tips: which form of management is best?

Ahmet Karabulut1, Enver Daglar, Mahmut Cakmak

  • 1Department Of Cardiology, Istanbul Medicine Hospital, Istanbul, Turkey. drkarabulut@yahoo.com

Cardiology Journal
|January 28, 2010
PubMed

Insights

Coronary guidewire entrapment, though rare, can be managed conservatively. This approach successfully treated three patients, leaving them asymptomatic after intervention.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Device Complications

Background:

  • Coronary guidewire fracture, detachment, or entrapment are infrequent but significant complications in interventional cardiology.
  • Various treatment strategies exist, but optimal management remains debated.

Observation:

  • Presents three distinct cases of hydrophilic-coated coronary guidewire non-metallic tip entrapment.
  • Conservative management was the primary strategy employed in these cases.

Findings:

  • A practical approach involved securing the guidewire remnant to the coronary artery during the intervention.
  • All three patients remained asymptomatic following the procedures.

Implications:

  • Conservative management can be a safe and effective strategy for coronary guidewire entrapment.
  • Highlights the importance of practical, minimally invasive techniques in managing device-related complications.

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