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Entrapped devices after PCI
Ihab Alomari1, Richard Snider2, Sonia Ponce1
1Division of Cardiology, University of New Mexico School of Medicine, Albuquerque, New Mexico.
Insights
Guide wire entrapment during percutaneous coronary intervention (PCI) is a rare but serious complication. Awareness of this issue and available treatment options is crucial for cardiologists to manage patients effectively.
Area of Science:
- Interventional Cardiology
- Cardiovascular Medicine
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
- Entrapped devices during PCI, though rare, pose significant risks.
Observation:
- A 62-year-old male presented with acute coronary syndrome.
- The patient underwent revascularization, which was complicated by guide wire entrapment and fracture.
Findings:
- Guide wire entrapment and fracture is a rare complication during PCI.
- This complication can lead to serious patient morbidity and mortality.
Implications:
- Cardiologists must be aware of the potential for guide wire entrapment during PCI.
- Knowledge of available treatment strategies is essential for managing this complication.
Abstract:
In contemporary practice, entrapped devices are rarely encountered during percutaneous coronary intervention (PCI) but can be associated with serious morbidity and mortality. We present a case of a 62 y/o male who presented with an acute coronary syndrome. Revascularization was performed and complicated by guide wire entrapment and fracture. Cardiologists should be aware of this complication and the treatment options available.
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