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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
PubMed

Insights

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.

Keywords:
Coronary angiographyPCIguide wire fracture

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