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Left Main Approach for Retrieval of Retained Guidewire Fragment
Author(s) -
AlAmri Hussein S.,
ALMoghairi Abdulrahman M,
Calafiore Antonio M.
Publication year - 2012
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2011.01352.x
Subject(s) - medicine , conventional pci , thrombus , percutaneous coronary intervention , perforation , percutaneous , angioplasty , surgery , thrombosis , radiology , myocardial infarction , cardiology , punching , materials science , metallurgy
Entrapment and detachment of guidewire fractures during percutaneous coronary intervention (PCI) are very rare, but can lead to life‐threatening complications such as embolization, thrombus formation, and perforation. Surgical extraction of the remnant fragments is recommended if the percutaneous retrieval is not possible. We present a case of remnant guidewire into the left anterior descending artery (LAD) and aorta that led to acute coronary thrombosis following primary angioplasty. Surgical retrieval was possible only through a left main (LM) approach. (J Card Surg 2012;27:307‐308)