Broken guidewire fragment: A simplified retrieval technique

Patel, Tejas; Shah, Sanjay; Pandya, R. D.; Sanghvi, Kintur; Fonseca, Keith

doi:10.1002/1522-726x(200012)51:4<483::aid-ccd24>3.0.co;2-f

Cited by 43 publications

(32 citation statements)

References 5 publications

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“…Several percutaneous techniques used for retrieval of entrapped guide-wire fragments including stenting against the vessel wall (7 cases) [12, 15-19], snare loop (9 cases) [1, 20-25], double or triple wire technique (3 cases) [7, 26, 27], bioptome (1 case) [1], tornus micro-catheter (1 case) [28], deep-guide catheter wedging with balloon inflation (6 cases) [1, 3, 29, 30] and pigtail catheter (1 case) [6]. …”

Section: Resultsmentioning

confidence: 99%

“…This is a method used if the wire is still intact and the guide is over-wedged, then the balloon is advanced and inflated at the terminal part of the guide catheter and is tightly trapping the wire and the whole system is retracted to pull out the retained wire [1, 3, 29, 30]. Another method to free the retained wire is the use of tornus micro-catheter, in which the micro-catheter is advanced with particular rotations to the tip of the wire to allow for the release of the jailed or entrapped part [28].…”

Section: Management Strategies Of Retained Guide Wire Remnantsmentioning

confidence: 99%

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Management of Retained Intervention Guide-wire: A Literature Review

Almoghairi

Alamri²

2013

CCR

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Percutaneous coronary angioplasty is increasingly employed in the treatment of patients with complex coronary artery disease. Different steerable guide wires used to open occluded vessel and facilitate balloon and stent deployment. However, the guide-wire itself is not without hazard: it may perforate or dissect the vessel, but fracture or entrapment is uncommon. Its management depends on the clinical situation of the patient, as well as the position and length of the remnant. In this review we discuss the angioplasty guide-wire fracture and entrapment risk factors, potential risks and management.

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Section: Resultsmentioning

confidence: 99%

Section: Management Strategies Of Retained Guide Wire Remnantsmentioning

confidence: 99%

Management of Retained Intervention Guide-wire: A Literature Review

Almoghairi

Alamri²

2013

CCR

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“…Furthermore, fracture, migration, and entrapment of 0.035-inch large diameter wire is extremely rare. Some reports have considered removal techniques for fractured guide wires in the coronary artery 2)4)8). These guide wires were always the 0.014-inch usual coronary guide wires, but this is the first report regarding successful retrieval of a fractured 0.035-inch guide wire.…”

Section: Discussionmentioning

confidence: 99%

Successful Retrieval of a Fractured and Entrapped 0.035-Inch Terumo Wire in the Femoral Artery Using Biopsy Forceps

et al. 2012

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A 0.035-inch guide wire fracture and entrapment in a peripheral artery is a very rare complication, but when it does occur it may lead to life-threatening complications, such as perforation, thrombus formation, embolization, and subsequent limb ischemia. We describe our experience of successfully retrieving a fractured 0.035-inch Terumo guide wire in the external iliac artery using a biopsy forcep.

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“…The incidence of retained components of percutaneous angioplasty equipment is reported to be 0.2% in single-centre series 3. The successful recovery of balloons and guide wire fragments uses techniques similar to those for retrieving embolised stents 4 5…”

Section: Device Embolisationmentioning

confidence: 99%

Complications of coronary intervention: device embolisation, no-reflow, air embolism

Dash

2013

Heart Asia

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The introduction of drug-eluting stents, better equipment, stronger antiplatelet drugs, and higher levels of operator experience has led to markedly improved patency rates for complex percutaneous coronary interventions (PCIs). The evolving techniques of contemporary PCI have been unable to completely eliminate complications. However, rigorous preventive measures pre-empt the appearance of complications. During traversal of severely diseased coronary arteries and manipulating equipment, particularly devices with detachable components, the opportunity for loss or embolisation of material in the coronary circulation presents itself. Device embolisation is associated with periprocedural myocardial infarction and emergent referral to surgery, particularly if the device is not retrieved. The coronary no-reflow phenomenon is a feared complication of PCI. It is associated with a worse prognosis and has been shown to be an independent predictor of death, myocardial infarction and impaired left ventricular function. Air embolism can be prevented by flushing of catheters during equipment exchanges.

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Broken guidewire fragment: A simplified retrieval technique

Cited by 43 publications

References 5 publications

Management of Retained Intervention Guide-wire: A Literature Review

Management of Retained Intervention Guide-wire: A Literature Review

Successful Retrieval of a Fractured and Entrapped 0.035-Inch Terumo Wire in the Femoral Artery Using Biopsy Forceps

Complications of coronary intervention: device embolisation, no-reflow, air embolism

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