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Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2021

Open Access 01-12-2021 | Non-ST-Segment Elevation Myocardial Infarction | Case report

A case report of fractured guidewire removal by rotational atherectomy

Authors: Xu Wang, Jian Ye, Jun-Qing Gao, Zong-Jun Liu

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

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Abstract

Background

Fractures occur in association with manipulation and because of the complexity of the coronary artery, and they can cause a series of serious complications, such as myocardial infarction and secondary thrombosis. Common treatments for fractured guidewires include conservative, interventional and surgical methods.

Case presentations

A 67-year-old male was admitted to our institute. He had recurrent chest tightness and chest pain for half a month, which worsened in one day. He was diagnosed with acute non-ST-segment elevation myocardial infarction. Guidewire fracture was caused by improper manipulation during percutaneous coronary intervention. We successfully performed rotational atherectomy to remove the fractured guidewire. His symptoms, and condition improved 6 weeks after the removal of fractured guidewire.

Conclusion

Physicians should have higher requirements for the quality of the guidewires and operation techniques.
Literature
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Hartzler GO, Rutherford BD, McConahay DR. Retained percutaneous transluminal coronary angioplasty equipment components and their management. Am J Cardiol. 1987;60(16):1260–4.CrossRef
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Stathopoulos I, Panagopoulos G, Kossidas K, Jimenez M, Garratt K. Guidewire-induced coronary artery perforation and tamponade during PCI: in-hospital outcomes and impact on long-term survival. J Invasive Cardiol. 2014;26(8):371–6.PubMed
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Kim TJ, Kim JK, Park BM, et al. Fatal subacute stent thrombosis induced by guidewire fracture with retained filaments in the coronary artery. Korean Circ J. 2013;43(11):761–5.CrossRef
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Baumann S, Rupp D, Becher T, et al. Retrieval of a fractured angioplasty guidewire after percutaneous retrograde revascularization of coronary chronic total occlusion. Coron Artery Dis. 2018;29(1):81–2.CrossRef
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Danek BA, Karatasakis A, Brilakis ES. Consequences and treatment of guidewire entrapment and fracture during percutaneous coronary intervention. Cardiovasc Revasc Med. 2016;17(2):129–33.CrossRef
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Datta G. Broken guidewire—a tale of three cases. Indian Heart J. 2015;67(Suppl 3):S49-52.CrossRef
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Idhrees AM, Radhakrishnan BK, Panicker VT, Pillai V, Karunakaran J. Entrapment of guidewire in left anterior descending artery: surgical management. Asian Cardiovasc Thorac Ann. 2017;25(6):457–8.CrossRef
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Metadata
Title
A case report of fractured guidewire removal by rotational atherectomy
Authors
Xu Wang
Jian Ye
Jun-Qing Gao
Zong-Jun Liu
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-021-01724-3

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