Related Experiment Video
Updated: Mar 1, 2026
04:41
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
1.3K
Fracture guide wire during an elective percutaneous coronary intervention
George Samanidis1, Constantinos Contrafouris2, Theofani Antoniou3
1First Department of Adult Cardiac Surgery Onassis Cardiac Surgery Center Athens Greece.
Clinical Case Reports
|June 8, 2017
Summary
Fractured guidewires during percutaneous coronary interventions require prompt removal. For patients with unstable hemodynamics, percutaneous or surgical extraction is advised, followed by antiplatelet therapy to prevent thrombosis.
Area of Science:
- Interventional Cardiology
- Cardiovascular Surgery
Background:
- Fractured guidewires are a potential complication during percutaneous coronary interventions (PCI).
- Management strategies for fractured guidewires are critical for patient outcomes.
Purpose of the Study:
- To determine the optimal timing and methods for fractured guidewire removal.
- To outline post-procedure management to prevent coronary artery thrombosis.
Main Methods:
- Review of cases involving fractured guidewires during PCI.
- Analysis of percutaneous and surgical removal techniques.
- Evaluation of antiplatelet drug efficacy post-removal.
Main Results:
- Fractured guidewires necessitate removal either during or after the PCI procedure.
- Percutaneous or surgical methods are employed for removal, especially in hemodynamically unstable patients.
- Post-procedure antiplatelet drug administration is recommended to prevent coronary artery thrombosis.
Conclusions:
- Timely removal of fractured guidewires is essential.
- Management should be tailored to patient hemodynamic status.
- Antiplatelet therapy plays a crucial role in preventing post-procedural thrombosis.
Related Concept Videos
01:28Cardiac Catheterization I: Pre-Procedure Overview
1.8K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
1.8K
01:26Cardiac Catheterization IV: Nursing Management
903
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
903