Related Experiment Video

Updated: Aug 13, 2026

Induction of Accelerated Atherosclerosis in Mice: The "Wire-Injury" Model
05:35

Induction of Accelerated Atherosclerosis in Mice: The "Wire-Injury" Model

Published on: August 25, 2020

11.3K

A case report of fractured guidewire removal by rotational atherectomy

Xu Wang1, Jian Ye1, Jun-Qing Gao1

  • 1Department of Cardiology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200062, People's Republic of China.

Journal of Cardiothoracic Surgery
|November 28, 2021
PubMed

Insights

Guidewire fractures during percutaneous coronary intervention can lead to serious complications like myocardial infarction. Rotational atherectomy successfully removed a fractured guidewire, improving patient outcomes.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Surgery
  • Medical Device Technology

Background:

  • Coronary artery guidewire fractures are a known complication during percutaneous coronary intervention (PCI).
  • These fractures can lead to severe adverse events, including myocardial infarction and thrombosis.
  • Current management strategies involve conservative, interventional, and surgical approaches.

Observation:

  • A 67-year-old male presented with worsening chest pain, diagnosed with acute non-ST-segment elevation myocardial infarction.
  • Guidewire fracture occurred during PCI due to improper manipulation.
  • The fractured guidewire was successfully removed using rotational atherectomy.

Findings:

  • Rotational atherectomy provided a successful method for fractured guidewire retrieval.
  • The patient's symptoms and condition significantly improved within 6 weeks post-procedure.
  • This case highlights a specific complication and its effective resolution.

Implications:

  • Emphasizes the critical need for high-quality guidewires and meticulous surgical technique in PCI.
  • Suggests rotational atherectomy as a viable option for managing fractured guidewires.
  • Underscores the importance of operator skill in preventing and managing PCI-related complications.
Abstract

Keywords:
Drug-eluting stentFractured guidewirePercutaneous coronary interventionRotational atherectomy

More Related Videos

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

296
Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

1.7K

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...