Intravascular retrieval of broken guide wire from the ascending aorta after percutaneous transluminal coronary angioplasty

Steele, Peter; Holmes, David R.; Mankin, Harold T.; Schaff, Hartzell V.

doi:10.1002/ccd.1810110612

Cited by 25 publications

(1 citation statement)

References 8 publications

(7 reference statements)

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“…As with any procedure, however, there are potential complications, one of which is stent misplacement or migration. The literature includes cases of stent migration involving the biliary tree (12, 13) and the arterial system (9, 28), and of those which occur during TIPS procedures (25-27), and we have described the use of a loop snare to relocate or retrieve stents misplaced during a TIPS or PTA procedure. The ability to retrieve or relocate misplaced stents improves the safety and efficacy of stenting procedures, and it is important, in case misplacement occurs, to keep the guidewire in place within the stent.…”

Section: Discussionmentioning

confidence: 99%

Tubular Foreign Body or Stent: Safe Retrieval or Repositioning Using the Coaxial Snare Technique

et al. 2002

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ObjectiveTo evaluate the utility and advantages of the coaxial snare technique in the retrieval of tubular foreign bodies.Materials and MethodsUsing the coaxial snare technique, we attempted to retrieve tubular foreign bodies present in seven patients. The bodies were either stents which were malpositioned or had migrated from their correct position in the vascular system (n=2), a fragmented venous introducer sheath (n=1), fragmented drainage catheters in the biliary tree (n=2), or fractured external drainage catheters in the urinary tract (n=2). After passing a guidewire and/or a dilator through the lumina of these foreign bodies, we introduced a loop snare over the guidewire or dilator, thus capturing and retrieving them.ResultsIn all cases, it was possible to retrieve or reposition the various items, using a minimum-sized introducer sheath or a tract. No folding was involved. In no case were surgical procedures required, and no complications were encountered.ConclusionThe coaxial snare technique, an application of the loop snare technique, is a useful and safe method for the retrieval of tubular foreign bodies, and one which involves minimal injury to the patient.

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Section: Discussionmentioning

confidence: 99%

Tubular Foreign Body or Stent: Safe Retrieval or Repositioning Using the Coaxial Snare Technique

et al. 2002

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Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade

Woodfield

Lopez

Heuser

1998

Cathet. Cardiovasc. Diagn.

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We present the case of a calcified right coronary artery lesion with a 90‐degree exit angle. Attempts at rotational atherectomy led to wire transection and vessel wall perforation necessitating emergent pericardiocentesis and bypass surgery. We review the literature on complications of rotational atherectomy and the management of coronary perforations and retained guidewire fragments. Cathet. Cardiovasc. Diagn. 44:220–223, 1998. © 1998 Wiley‐Liss, Inc.

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Stent deployment within a guide catheter aids removal of a fractured buddy wire

Prasan

Brieger

Adams

et al. 2002

Cathet Cardio Intervent

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Intravascular retrieval of broken guide wire from the ascending aorta after percutaneous transluminal coronary angioplasty

Cited by 25 publications

References 8 publications

Tubular Foreign Body or Stent: Safe Retrieval or Repositioning Using the Coaxial Snare Technique

Tubular Foreign Body or Stent: Safe Retrieval or Repositioning Using the Coaxial Snare Technique

Fracture of coronary guidewire during rotational atherectomy with coronary perforation and tamponade

Stent deployment within a guide catheter aids removal of a fractured buddy wire

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