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How should I treat a patient to remove a fractured jailed side branch wire?
1Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom. columowens@yahoo.co.uk
Background:
A 53-year-old female was sent for diagnostic angiography after successful reperfusion therapy for an anterior ST-elevation myocardial infarct. The culprit lesion was a LAD/D1 bifurcation stenosis.
Investigations:
Coronary angiography, intravascular ultrasound.
Diagnosis:
Left anterior descending artery/first diagonal artery bifurcation stenosis, fractured jailed side branch wire.
Treatment:
Provisional stenting strategy for bifurcation stenosis. Consideration of surgical and percutaneous options to retrieve fractured, jailed, side branch wire. Wire and balloon catheter wrap technique for retrieval of fractured wire.
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