Retained percutaneous transluminal coronary angioplasty guidewire in coronary circulation

Abstract

Percutaneous coronary interventions have been a widely accepted method as a treatment option in patients with coronary artery disease. Unfortunately, the rare procedure-related complications pose a potential risk for patients, either during catheterization or afterwards. We present a case, in which we found of a retained guidewire segment in the right coronary artery.

Conservative management of broken guidewire: Case reports

“…This then can lead to excessive bending with consequent fracture of the guidewire. 5 – 7 The Whisper wire, which was used in both cases described above, is noted to have the characteristics of being a full polymer wire with a hydrophilic coating. This decreases friction and allows for easier navigation through tortuous vessels at the expense of decreased tactile feedback and increased risk of perforation.…”

Rupture of guide wire during percutaneous transluminal coronary angioplasty, a case report

“…Entrapment or overrotatation of the distal tip of an angioplasty guide wire may lead to wire rupture [4,5]. Following this complication, two different situations can occur.…”

“…Following this complication, two different situations can occur. Most frequently the free proximal end of broken wire extends into aorta; this situation can be handled by percutaneous retrieval techniques [5,6]. Less frequently free end of broken guide wire fragment may remain completely within the coronary tree, beyond the reach of any retrieval catheter.…”

1,6-Bis(chloromethyl)pyridine

“…To enable comparative studies within a group of coordination compounds currently under investigation in our working group we determined the crystal structure of the title compound which serves as a starting material for one of the multidentate ligands applied thereof. The crystal structure of the hydrochloride of the title compound is apparent in the literature (Lozano & Jones, 2004).…”