Entrapment of Guidewire in the Coronary Stent during Percutaneous Coronary Intervention

Abstract

A 76-year-old man presented with chest discomfort. On coronary angiography, subtotal occlusion in the mid-right coronary artery (RCA) and 60 % tubular stenosis in the distal RCA were revealed. Two intracoronary stents could be placed in the RCA without any difficulty. However, the guidewire could not be removed. The intraoperative finding showed that the guidewire had become entrapped in the coronary stent. The guidewire was successfully removed and emergency coronary bypass grafting was performed.

Key words

Guidewire - coronary stent - coronary artery bypass graft

References

• 1 Sethi G K, Fergusion Jr T B, Miller G, Scott S M. Entrapment of broken guidewire in the left main coronary artery during percutaneous transluminal coronary angioplasty.  Ann Thorac Surg. 1989;  47 455-457
• 2 Deligonul U, Tatineni S, Johnson R, Kern M J. Accordion right coronary artery: an unusual complication of PTCA guidewire entrapment.  Cathet Cardiovasc Diagn. 1991;  23 111-113
• 3 Karthik S, Silverton P, Blaxill J A, O'Regan D J. Successful outcome of emergency coronary bypass grafting and retrieval of entrapped stent, angioplasty balloon, and guidewire.  Ann Thorac Surg. 2005;  79 1032-1034
• 4 Hartzler G O, Rutherford B D, McConahay D R. Retained percutaneous transluminal coronary angioplasty equipment components and their management.  Am J Cardiol. 1987;  60 1260-1264
• 5 Savas V, Schreiber T, O'Neill W. Percutaneous extraction of fractured guidewire from distal right coronary artery.  Catheter Cardiovasc Interv. 1991;  22 124-126