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Management of Guidewire Entrapment and Fracture During Percutaneous Coronary Intervention: When All Bailout

Tushar Sharma1, Brad Pfeffer2, Christopher C Kwon2

  • 1Cardiovascular Medicine, University of Nebraska, Omaha, Nebraska.

Texas Heart Institute Journal
|April 3, 2023
PubMed

Insights

A fractured guidewire during stenting for myocardial infarction necessitated bypass surgery. This case highlights critical guidewire retrieval techniques to prevent complications and avoid further surgical intervention.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Non-ST-segment elevation myocardial infarction (NSTEMI) is a common cardiac emergency.
  • Percutaneous coronary intervention (PCI) with stenting is a standard treatment for NSTEMI.
  • Complications during PCI, such as guidewire entrapment, can lead to adverse outcomes.

Keywords:
Intraoperative complicationsangioplasty, balloon, coronarypercutaneous coronary intervention

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