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

Abstract

We report a case of fractured buddy wire that was successfully removed by deploying a stent within the guide catheter, trapping the fractured segment of wire between stent and endoluminal surface of the guide catheter. This technique provides an alternative to either percutaneous snare or surgical intervention.

Removal of fractured balloon catheter using another balloon inflation in coronary artery: Case report

“…These treatment modalities are to remove fractured segments by catheter besides surgery [8,9]. It has been reported that catheter fragments are successfully removed with snare [10,11] or stent deployment in the guiding catheter [7]. We have, here, reported a new method which has not been reported in the literature.…”

“…Balloon entrapment was generally detected at calcified lesions in the cases reported up to now [1,7]. This complication occurred during the intervention of acute myocardial infarction in which coronary artery was totally occluded due to thrombotic lesion.…”

Retrieval of a subintimal fractured guide wire from the brachial artery following saphenous vein graft stenting

“…Although rare coronary guide wire fracture has been described previously, in some cases, medical management has been reported to be used safely , whereas in other cases, adverse sequelae are described . Surgical removal has been necessary in several reports; however, percutaneous strategies such as using a snare or even deploying a coronary stent within the guiding catheter to trap the wire have been reportedly successful. Currently, there are no accepted guidelines; however, factors that should be considered include the length of wire retained, the position of the fractured tip, and any adverse complications that have resulted from the attempted wire removal.…”

Clinical and angiographic outcomes of patients undergoing entrapped guidewire retrieval in stent‐jailed side branch using a balloon catheter

“…Retrieval of the jailed wire with a strong pulling force often leads to deep intubation of the guiding catheter that has a potential risk of coronary artery injury. Furthermore, overstretch of the jailed wire might result in wire fracture, and retrieval of the retained fractured wire is challenging .…”