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Is Surgical Approachment to a Retained and Fractured Guide Wire Inside Coronary Artery Necessary Followings Coronary Angiography?

Year 2017, Volume: 20 Issue: 3, 259 - 261, 03.12.2017

Abstract

The
number of coronary angiographies performed each year is increasing worldwide.
This may lead to a rise in the number of complications that will need surgical
intervention. There is a risk of entrapment of the guidewire that is used in
coronary angiography inside the vessel wall. This complication is rarely seen,
but may occur depending on calcifications or technical difficulties.
Overstretching of the stuck wire might result in wire fracture, and this may
cause embolic or thrombotic events. Treatment is challenging and can be done
via percutaneous or surgical methods. Herein, we present the case of a male
patient with an entrapment of the coronary artery guidewire inside the septal
branch of the left anterior descending artery.

References

  • 1. Cafri C, Rosenstein G, Ilia R. Fracture of a coronary guidewire during graft thrombectomy with the X-sizer device. J Invasive Cardiol 2004; 16:263-5.
  • 2. Patel T, Shah S, Pandya R, Sanghvi K, Fonseca K. Broken guidewire fragment: a simplified retrieval technique. Catheter Cardiovasc Interv 2000;51:483-6.
  • 3. Filis K, Arhontovasilis F, Theodorou D, Albanopoulos K, Lagoudianakis E, Manouras A, et al. Management of early and late detected vascular complications following femoral arterial puncture for cardiac catheterization. Hellenic J Cardiol 2007;48:134-42.
  • 4. Lefevre T, Louvard Y, Morice MC. Stenting of bifurcation lesions: a rational approach. J Interv Cardiol 2001;14:573-85.
  • 5. Balbi M, Bezante GP, Brunelli C, Rollando D. Guide wire fracture during percutaneous transluminal coronary angioplasty: possible causes and management. Interact Cardiovasc Thorac Surg 2010;10:992-4.
  • 6. Hüseyin S, Yüksel V, Sezer-Alptekin G, Canbaz S, Sunar H. Koroner anjiyografi sonrası ender bir komplikasyon: İntraaortik kılavuz tel. Okmeydanı Tıp Dergisi 2015;31;49-51.

Koroner Anjiyografi Esnasında Koroner Arterde Kırılıp Kalan Kılavuz Teline Cerrahi Yaklaşım Gerekli midir?

Year 2017, Volume: 20 Issue: 3, 259 - 261, 03.12.2017

Abstract

Yıllık yapılan koroner anjiyografi sayısı giderek artmaktadır. Buna bağlı olarak cerrahi müdahale gerektirecek komplikasyon sayılarında artış beklemekteyiz. Koroner anjiyografi esnasında kullanılan kılavuz telin damar lümeni içerisinde sıkışma ihtimali mevcuttur. Bu komplikasyon nadir olarak görülse de kalsifikasyonlara ve teknik zorluklara bağlı olarak gelişebilir. Sıkışan tel üzerinde fazla baskı oluşturmak telin kırılmasına neden olabilir. Bu embolik ya da trombotik hadiselerin gelişmesine neden olabilir. Tedavisi zorlu olan bu durum cerrahi ya da perkütan metodlar ile düzeltilebilir. Burada sol ön inen arterin septal dalında koroner arter  kılavuz telinin sıkışma komplikasyonu  mevcut erkek olgu takdim edilmiştir.

References

  • 1. Cafri C, Rosenstein G, Ilia R. Fracture of a coronary guidewire during graft thrombectomy with the X-sizer device. J Invasive Cardiol 2004; 16:263-5.
  • 2. Patel T, Shah S, Pandya R, Sanghvi K, Fonseca K. Broken guidewire fragment: a simplified retrieval technique. Catheter Cardiovasc Interv 2000;51:483-6.
  • 3. Filis K, Arhontovasilis F, Theodorou D, Albanopoulos K, Lagoudianakis E, Manouras A, et al. Management of early and late detected vascular complications following femoral arterial puncture for cardiac catheterization. Hellenic J Cardiol 2007;48:134-42.
  • 4. Lefevre T, Louvard Y, Morice MC. Stenting of bifurcation lesions: a rational approach. J Interv Cardiol 2001;14:573-85.
  • 5. Balbi M, Bezante GP, Brunelli C, Rollando D. Guide wire fracture during percutaneous transluminal coronary angioplasty: possible causes and management. Interact Cardiovasc Thorac Surg 2010;10:992-4.
  • 6. Hüseyin S, Yüksel V, Sezer-Alptekin G, Canbaz S, Sunar H. Koroner anjiyografi sonrası ender bir komplikasyon: İntraaortik kılavuz tel. Okmeydanı Tıp Dergisi 2015;31;49-51.
There are 6 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Case Reports
Authors

İsmail Koramaz This is me

Macit Bitargil This is me

Helin El Kılıç This is me

Fatih Gökalp This is me

Publication Date December 3, 2017
Published in Issue Year 2017 Volume: 20 Issue: 3

Cite

Vancouver Koramaz İ, Bitargil M, El Kılıç H, Gökalp F. Koroner Anjiyografi Esnasında Koroner Arterde Kırılıp Kalan Kılavuz Teline Cerrahi Yaklaşım Gerekli midir?. Koşuyolu Heart Journal. 2017;20(3):259-61.